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논문 기본 정보

자료유형
학술저널
저자정보
Ji-Ho Kang (Department of Rehabilitation Medicine Seoul National University Bundang Hospital Seongnam Korea) Gangpyo Lee (Department of Rehabilitation Medicine Incheon Workers’ Compensation Hospital Incheon Korea) Kyoung-Eun Kim (Department of Rehabilitation Medicine The Armed Forces Capital Hospital Seongnam Korea) 이영균 (Department of Orthopedic Surgery Seoul National University Bundang Hospital Seongnam Korea) 임재영 (서울대학교)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.22 No.1
발행연도
2018.1
수록면
26 - 32 (7page)

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Background: This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes in rehabilitation programs using standardized clinical pathways. Methods: This was a retrospective cohort study performed in a tertiary rehabilitation facility. A total of 220 patients who had received unilateral hip fracture surgery were followed up from immediately after surgery to 6 months postoperatively. Clinical pathways for rehabilitation included early, individualized rehabilitation, education for activities of daily living, review of general medical conditions, and arrangement of discharge settings. One rehabilitation specialist consecutively checked ambulatory function using 3-level grading, and patients were classified into good recovery and poor recovery groups based on ambulatory function at 6 months postoperatively. Logistic regression analysis was performed using 7 representative variables (age, sex, bone mineral density, Mini-Mental Status Examination [MMSE], Berg Balance Scale [BBS], premorbid ambulatory function, and length of hospital stay). Results: A total of 86.8% of patients could walk with or without assistance at 6 months after surgery and 75.5% of patients involved in the rehabilitation program were classified into the good recovery group in this study. The good recovery group showed higher MMSE and BBS scores compared with the poor recovery group. The factors in the model most strongly correlated with recovery were MMSE and BBS. Conclusion: This study showed that a well-designed rehabilitation program could improve ambulatory function in older patients after hip fracture surgery and that cognitive impairment and poor balance control may inhibit the recovery of ambulatory function.

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참고문헌 (27)

참고문헌 신청
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 Crossref Kanis JA / 2002 / International variations in hip fracture probabilities: implications for risk assessment / J Bone Miner Res 17:1237~1244 Crossref Haentjens P / 2010 / Meta-analysis: excess mortality after hip fracture among older women and men / Ann Intern Med 152:380~390 Crossref Halbert J / 2007 / Multi-disciplinary rehabilitation after hip fracture is associated with improved outcome: a systematic review / J Rehabil Med 39:507~512 Crossref Chevalley T / 2010 / Early serum IGF-I response to oral protein supplements in elderly women with a recent hip fracture / Clin Nutr 29:78~83 Crossref

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