Department of Physiotherapy and Orthopaedic Surgery, Hvidovre University Hospital, Copenhagen, Denmark.
Eur J Phys Rehabil Med. 2011 Jun;47(2):257-64.
Having a hip fracture is considered one of the most fatal fractures for elderly people, resulting in impaired function, and increased morbidity and mortality. This challenges clinicians in identifying patients at risk of worse outcome, in order to optimise and intensify treatment in these patients. A variety of factors such as age, prefracture function and health status, fracture type, pain, anaemia, muscle strength, and the early mobility level have been shown to influence patient outcome. Thus, the outcome of patients with hip fracture is considered multi-factorial, and can therefore not be related to just one or two single factors. The current article reviews important factors affecting the functional prognosis, and clinicians are encouraged to include all factors potentially influencing the outcome of patients with hip fracture in their individualised treatment and rehabilitation plan. Especially, older age and having a low prefracture functional level are considered strong factors.
髋部骨折被认为是老年人最致命的骨折之一，导致功能受损，发病率和死亡率增加。这给临床医生带来了挑战，他们需要识别出有更糟糕预后风险的患者，以便对这些患者进行优化和强化治疗。多种因素，如年龄、骨折前功能和健康状况、骨折类型、疼痛、贫血、肌肉力量和早期活动水平，已被证明会影响患者的预后。因此，髋部骨折患者的预后被认为是多因素的，因此不能仅仅与一两个单一因素相关。本文综述了影响功能预后的重要因素，鼓励临床医生在个体化治疗和康复计划中考虑所有可能影响髋部骨折患者预后的因素。特别是，年龄较大和骨折前功能水平较低被认为是强有力的因素。
