Di Monaco Marco, Vallero Fulvia, Di Monaco Roberto, Mautino Fulvio, Cavanna Alberto
Osteoporosis Research Center, Presidio Sanitario San Camillo, Torino, Italy.
J Rehabil Med. 2003 Jul;35(4):195-7. doi: 10.1080/16501970306128.
To investigate functional recovery after concomitant fractures of both hip and upper limb in elderly people.
Survey study.
Rehabilitation hospital in Italy.
586 consecutive in-patients with hip fracture.
Functional recovery was evaluated by using Barthel index score.
4.1% of patients (i.e. 24/586) suffered from a concomitant fracture of an upper limb, involving proximal humerus (n = 8) or distal radius (n = 16). After adjustment for 9 prognostic factors, a significant reduction in the Barthel index score on admission but not on discharge was found in the patients with an upper limb fracture. The length of stay was not significantly associated with the presence of the concomitant upper limb fracture.
In a sample of hip-fractured patients, neither the functional recovery at the end of a course of rehabilitation nor the length of stay were influenced by the presence of a concomitant fracture involving an upper limb.
调查老年人髋部和上肢同时骨折后的功能恢复情况。
调查研究。
意大利的康复医院。
586例连续入住的髋部骨折患者。
使用巴氏指数评分评估功能恢复情况。
4.1%的患者（即24/586）合并有上肢骨折，包括近端肱骨骨折（n = 8）或远端桡骨骨折（n = 16）。在对9个预后因素进行调整后，发现上肢骨折患者入院时巴氏指数评分显著降低，但出院时未降低。住院时间与合并上肢骨折的情况无显著相关性。
在髋部骨折患者样本中，康复疗程结束时的功能恢复情况和住院时间均未受到合并上肢骨折的影响。
