Borgquist L, Ceder L, Thorngren K G
Lund University, Department of Community Health Sciences, Dalby, Sweden.
Acta Orthop Scand. 1990 Oct;61(5):404-10. doi: 10.3109/17453679008993550.
Function and social outcome for 103 consecutive patients, mean age 75 years, admitted from their own homes after a hip fracture were studied during a 10-year period. Within 4 months after the fracture, 81 patients had returned home, and the percentage of survivors living at home from then on was then fairly constant. At 10 years after fracture, 31 patients were living at home, 6 were in institutions, and 66 were dead. ADL, walking ability, and household activities remained at the level already achieved within 4 months after fracture during the 10-year period. The need for social services help did not increase; about one third of the survivors had communal home help throughout the 10-year period. Patients who before fracture were healthy and living with someone and within 2 weeks after the fracture could walk with a four-legged aid or better had a good prognosis for living in their own home. The hip fracture did not effect their subsequent fate.
对103例平均年龄75岁、髋部骨折后从家中入院的连续患者进行了为期10年的功能和社会结局研究。骨折后4个月内，81例患者已回家，此后在家生活的幸存者比例相当稳定。骨折10年后，31例患者在家生活，6例在机构中，66例死亡。在这10年期间，日常生活活动能力、行走能力和家务活动保持在骨折后4个月内已达到的水平。对社会服务帮助的需求没有增加；约三分之一的幸存者在整个10年期间都有社区家庭帮助。骨折前健康且与他人同住、骨折后2周内能够借助四脚助行器行走或行走能力更好的患者，在家中生活的预后良好。髋部骨折并未影响他们随后的命运。
