Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas, USA.
Diabetes Care. 2011 Jun;34(6):1375-7. doi: 10.2337/dc10-2220. Epub 2011 May 11.
To examine the influence of diabetes on length of stay (LOS), functional status, and discharge setting in individuals with hip fracture.
This work included secondary analyses of 79,526 individuals from 915 rehabilitation facilities in the U.S. Patients were classified into three groups using the Centers for Medicare and Medicaid Services comorbidity structure: individuals without diabetes (77.0%), individuals with non-tier diabetes (18.3%), and individuals with tier diabetes (4.7%).
Mean age was 79.4 years (SD 9.6), and mean LOS was 13.3 days (SD 5.3). Tier diabetes was associated with longer LOS, lower functional status ratings, and reduced odds of discharge home when compared with individuals with no diabetes and non-tier diabetes. Statistically significant interactions (P < 0.05) were found between age and diabetes classification for LOS, functional status, and discharge setting.
The impact of diabetes on recovery after hip fracture is moderated by age.
研究糖尿病对髋部骨折患者住院时间(LOS)、功能状态和出院地点的影响。
本研究在美国 915 家康复机构的 79526 名患者中进行了二次分析。患者使用医疗保险和医疗补助服务中心(Centers for Medicare and Medicaid Services)的合并症结构分为三组:无糖尿病患者(77.0%)、非 1 级糖尿病患者(18.3%)和 1 级糖尿病患者(4.7%)。
平均年龄为 79.4 岁(标准差 9.6),平均 LOS 为 13.3 天(标准差 5.3)。与无糖尿病和非 1 级糖尿病患者相比,1 级糖尿病患者 LOS 更长,功能状态评分更低,出院回家的可能性更小。在 LOS、功能状态和出院地点方面,年龄与糖尿病分类之间存在显著的交互作用(P<0.05)。
糖尿病对髋部骨折后康复的影响受年龄的影响。