지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 225 - 259 (35page)
이용수
초록· 키워드
오류제보하기
Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.
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참고문헌 (176)
참고문헌 신청
이영균 / 2017 / Trend in the Age-Adjusted Incidence of Hip Fractures in South Korea: Systematic Review / Clinics in Orthopedic Surgery 9(4):420~423
Gullberg B / 1997 / World-wide projections for hip fracture / Osteoporos Int 7:407~413
Kang HY / 2010 / Incidence and mortality of hip fracture among the elderly population in South Korea : a population-based study using the national health insurance claims data / BMC Public Health 10:230
Zuckerman JD / 1996 / Hip fracture / N Engl J Med 334:1519~1525
Mears SC / 2014 / Classification and surgical approaches to hip fractures for nonsurgeons / Clin Geriatr Med 30:229~241
Gullberg B / 1997 / World-wide projections for hip fracture / Osteoporos Int 7:407~413
Kang HY / 2010 / Incidence and mortality of hip fracture among the elderly population in South Korea : a population-based study using the national health insurance claims data / BMC Public Health 10:230
Zuckerman JD / 1996 / Hip fracture / N Engl J Med 334:1519~1525
Mears SC / 2014 / Classification and surgical approaches to hip fractures for nonsurgeons / Clin Geriatr Med 30:229~241
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