Characteristics and Outcomes of Patients in Rehabilitation with Hip Fracture: A Retrospective Chart Review

Abstract

Hip fracture rehabilitation has two streams: high tolerance short duration (HTSD) and low tolerance long duration (LTLD). This study examined patient characteristics and outcomes in HTSD and LTLD associated with length of stay (LOS) and discharge destination. We retrospectively examined patients' medical charts following hip fracture surgery and collected demographic, functional, and health characteristics. A statistical analysis was done to describe the differences between HTSD (n = 73) and LTLD (n = 57) patient characteristics and their relationship with LOS and discharge destination. Those in LTLD were significantly older, less independent with prefracture bathing and instrumental activities of daily living, had lower Functional Independence Measure (FIM) admission scores, and more co-morbidities. Higher FIM motor score on admission in HTSD and greater change in FIM total score in LTLD was significantly correlated with discharge home. Diabetes in LTLD and lower total admission FIM in HTSD was significantly associated with increased LOS.

“Associations between patient characteristics and unplanned or delayed discharges from geriatric rehabilitation: A retrospective chart review”

“…The median age of participants in our study is consistent with data from a systematic review of randomized controlled trials of inpatient geriatric rehabilitation, which reported mean ages of participants in the included studies ranging from 74.2 to 86.0 2 . In addition, the final cohort of 251 patients over a 1-yr period constitutes one of the larger chart reviews of geriatric rehabilitation populations, which have abstracted data from between 116 and 215 charts 3,4,33,35 . As with most chart abstraction, the data relied on accurate documentation by nurses, physicians, and allied health members, which may be subject to human error and lead to exposure misclassification of certain variables.…”

“…2 In addition, the final cohort of 251 patients over a 1-yr period constitutes one of the larger chart reviews of geriatric rehabilitation populations, which have abstracted data from between 116 and 215 charts. 3,4,33,35 As with most chart abstraction, the data relied on accurate documentation by nurses, physicians, and allied health members, which may be subject to human error and lead to exposure misclassification of certain variables. Furthermore, although we did not find that living alone predicted adverse discharge, it is possible that our sample had other support networks such as community or family members not captured in our data.…”

“…I npatient geriatric rehabilitation has been shown to improve function, reduce admission to long-term care, and reduce mortality when compared with usual inpatient care without rehabilitation. 1,2 The majority of rehabilitation literature on older adults focuses on specific patient populations-including orthopedic, [3][4][5][6] oncology, 7 and stroke. 8,9 However, the bulk of the current literature focuses on rehabilitation candidates and outcomes on the basis of their diagnosis, rather than a general older adult population who experiences a hospitalization.…”

A csípőtáji töréseket követő intézményi rehabilitációra utalás gyakorlata és a beutalást befolyásoló tényezők a hazai közfinanszírozási adatok alapján

“…Több cikk említi tényezőként a betegnek a sérülés előtti lakóhelyét is. Ezek elsősorban a saját otthonukban és a szociális ellátóintézményekben lakó betegek csoportjait különböztetik meg [24,29,30], de említésre kerül a városi és a vidéki ellátás különbsége is [24,30]. A dementia több közlemény szerint hátrányosan befolyásolja a rehabilitációra kerülést [23][24][25], hiszen hatással van az együttműködési képességre, bár a gyógytorna a demens betegekre is kedvezően hat [31].…”

“…A beteg együttműködési képességét befolyásoló társbetegségek (dementia, mentális betegségek, alkoholbetegség) esetében szignifikánsan kisebb esélye van az intézményi rehabilitációs ellátásnak. Ezen megállapításaink összhangban vannak a szakirodalommal [23][24][25][26][27][28][29][30][31][32], és a betegállapot-jellemzők eredményei tükrözik a szakmai ajánlásokban megfogalmazott követelményeket [21,22].…”