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首页> 外文期刊>Geriatric orthopaedic surgery & rehabilitation. >Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures
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Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

机译：一天康复计划在改善功能性髋关节骨折老年患者的功能结果，降低死亡率和再入院方面的有效性

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The incidence of hip fracture is projected to increase in the next 25 years as the world population ages. Hip fracture is often associated with subsequent readmission and mortality. Nevertheless, elderly patients often may not achieve the same level of functional ability as prior to their injury. Several studies have shown that close collaboration between orthopedic surgeons and geriatricians can improve such outcomes and Geriatric Day Hospital (GDH) is one of the examples of collaboration to improve such outcomes. The aim of this descriptive retrospective study is to review the effectiveness of the day rehabilitation program provided by a GDH on functional outcomes, mortality, and readmission rate, among a sample of elderly patients with hip fracture. The medical records of patients from January 1, 2009, to December 31, 2012, were collected and evaluated. Demographic data of the patients and Charlson Comorbidity Index were collected. The Barthel Index, Elderly Mobility Scale, and Mini-Mental State Examination were measured on admission and at discharge of the patients to evaluate both physical and cognitive functions. The results showed that the majority of patients benefited from rehabilitation in the GDH. The 12-month mortality rate of patients taking full-course rehabilitation in the GDH was improved. The age of patient was the most important factor influencing the rehabilitation outcomes. Gender was the only risk factor for 12-month mortality and 6-month readmission. Since patients were selected to attend GDH, there was a bias during the selection of patients. Furthermore, it was difficult to compare patients attended GDH with patients who did not because outcomes of the latter were difficult to be recorded. Our study shows that postoperative geriatric hip fracture patients definitely can benefit from rehabilitation service offered by GDH in terms of functional and cognitive outcomes.
机译：随着世界人口的老龄化，未来25年髋部骨折的发生率预计会增加。髋部骨折通常与随后的再次入院和死亡率相关。然而，老年患者通常可能无法达到受伤前的功能水平。几项研究表明，骨科医生与老年医生之间的密切合作可以改善此类结果，老年日间医院（GDH）是改善此类结果的合作实例之一。这项描述性回顾性研究的目的是回顾GDH在老年髋部骨折患者样本中提供的功能，死亡率和再入院率方面的GDH日间康复计划的有效性。收集并评估从2009年1月1日至2012年12月31日的患者病历。收集患者的人口统计学数据和查尔森合并症指数。在患者入院和出院时测量Barthel指数，老年人活动量表和小精神状态检查，以评估身体和认知功能。结果表明，大多数患者从GDH的康复中受益。在GDH中接受全过程康复的患者的12个月死亡率得到改善。患者的年龄是影响康复结果的最重要因素。性别是12个月死亡率和6个月再入院的唯一危险因素。由于选择了参加GDH的患者，因此在选择患者时存在偏见。此外，很难将参加GDH的患者与未参加GDH的患者进行比较，因为后者的结果难以记录。我们的研究表明，在功能和认知结局方面，术后老年性髋部骨折患者肯定可以从GDH提供的康复服务中受益。

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