Rosell P A E, Parker M J
Peterborough District Hospital, Peterborough PE3 6DA, UK.
Injury. 2003 Jul;34(7):529-32. doi: 10.1016/s0020-1383(02)00414-x.
Two hundred and seventy-five consecutive patients over the age of 50 years admitted with a hip fracture were prospectively studied in detail, to assess the impact of a hip fracture on their functional ability and their need for social support. One hundred and eighty-three (66.9%) patients survived to 1 year. Mortality was highest amongst those least able to perform the recorded activities. One hundred and fifty-eight (86%) of the survivors were resident in the same level of accommodation after 1 year. There was a reduction in mobility and related functions of 20-25% and a reduction of 5% in tasks not related to hip function. It is therefore estimated that in the year after a hip fracture there will be decline in functionally abilities of about 5% unrelated to the hip fracture and about 15-20% directly related to the hip fracture. There was an increase in the requirement for social support amongst survivors individually, but overall the total economic burden on social services and institutional care was not significantly changed by hip fracture.
对275例年龄超过50岁的髋部骨折住院患者进行了前瞻性详细研究，以评估髋部骨折对其功能能力的影响以及他们对社会支持的需求。183例（66.9%）患者存活至1年。在那些最无法完成记录活动的患者中死亡率最高。158例（86%）幸存者在1年后居住在相同水平的住所。与髋部功能无关的任务中的活动能力和相关功能下降了20% - 25%，与髋部功能相关的任务下降了5%。因此据估计，在髋部骨折后的一年中，与髋部骨折无关的功能能力将下降约5%，与髋部骨折直接相关的功能能力将下降约15% - 20%。幸存者个体对社会支持的需求有所增加，但总体而言，髋部骨折并未使社会服务和机构护理的总经济负担发生显著变化。
