Pedersen Tonny Jaeger, Bogh Louise Nicole Bie, Lauritsen Jens Martin
Dan Med J. 2017 Apr;64(4).
The aim of this study was to explore the relationship between "waiting time to onset of municipal rehabilitation", "length of municipal rehabilitation" and the attained level of function four months after the hip fracture.
Among a consecutive series of 156 patients, the 116 patients who were recommended a municipal rehabilitation sequence after discharge were included. The expos-ures were waiting time in days and duration in hours of the municipal rehabilitation. The outcome was lower-extremity functional level as measured with the Short Physical Per-form-ance Battery. Effects were assessed with non-parametric gamma coefficients.
The median waiting time to initiation of rehabilitation was ten days. A weak and insignificant correlation was observed between waiting time and outcome at four months, and a statistically significant correlation was recorded between duration of municipal rehabilitation and outcome, also at four months. No marked differences in these results were found when subgrouped by pre-fracture level of function as assessed with the Barthel-20 index.
Waiting times from hospital discharge to initiation of municipal rehabilitation seems not to correlate with functional level four months after the hip fracture. In contrast, the amount of municipal rehabilitation time does correlate with a better functional level four months after the hip fracture. Furthermore, large-sample studies are warranted to clarify this relationship.
none.
not relevant.
本研究旨在探讨“市政康复开始的等待时间”“市政康复时长”与髋部骨折四个月后所达到的功能水平之间的关系。
在连续的156例患者中，纳入了出院后被建议接受市政康复流程的116例患者。暴露因素为市政康复的等待天数和时长（以小时计）。结局指标是用简短体能状况量表测量的下肢功能水平。采用非参数伽马系数评估效应。
康复开始的中位等待时间为10天。观察到等待时间与四个月时的结局之间存在微弱且无统计学意义的相关性，同时也记录到市政康复时长与四个月时的结局之间存在统计学意义的相关性。根据Barthel-20指数评估的骨折前功能水平进行亚组分析时，这些结果未发现明显差异。
从出院到开始市政康复的等待时间似乎与髋部骨折四个月后的功能水平无关。相比之下，市政康复时间的长短确实与髋部骨折四个月后更好的功能水平相关。此外，需要开展大样本研究来阐明这种关系。
无。
不相关。
