Mizrahi Eliyahu H, Lubart Emilia, Heymann Anthony, Leibovitz Arthur
Department of Geriatric Medicine and Rehabilitation, Shmuel Harofe Hospital, Beer Yaakov, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Isr Med Assoc J. 2017 Apr;19(4):207-210.
Holocaust survivors report a much higher prevalence of osteoporosis and fracture in the hip joint compared to those who were not Holocaust survivors.
To evaluate whether being a Holocaust survivor could affect the functional outcome of hip fracture in patients 64 years of age and older undergoing rehabilitation.
A retrospective cohort study compromising 140 consecutive hip fracture patients was conducted in a geriatric and rehabilitation department of a university-affiliated hospital. Being a Holocaust survivor was based on registry data. Functional outcome was assessed by the Functional Independence Measure (FIM)TM at admission and discharge from the rehabilitation ward. Data were analyzed by t-test, chi-square test, and linear regression analysis.
Total and motor FIM scores at admission (P = 0.004 and P = 0.006, respectively) and total and motor FIM gain scores at discharge (P = 0.008 and P = 0.004 respectively) were significantly higher in non-Holocaust survivors compared with Holocaust survivors. A linear regression analysis showed that being a Holocaust survivor was predictive of lower total FIM scores at discharge (β = -0.17, P = 0.004).
Hip fracture in Holocaust survivors showed lower total, motor FIM and gain scores at discharge compared to non-Holocaust survivor patients. These results suggest that being a Holocaust survivor could adversely affect the rehabilitation outcome following fracture of the hip and internal fixation.
与非大屠杀幸存者相比，大屠杀幸存者报告的骨质疏松症患病率和髋关节骨折患病率要高得多。
评估成为大屠杀幸存者是否会影响64岁及以上接受康复治疗的髋部骨折患者的功能结局。
在一所大学附属医院的老年病科和康复科进行了一项回顾性队列研究，纳入了140例连续的髋部骨折患者。是否为大屠杀幸存者基于登记数据。通过功能独立性测量量表（FIM）TM在康复病房入院时和出院时评估功能结局。数据采用t检验、卡方检验和线性回归分析进行分析。
与大屠杀幸存者相比，非大屠杀幸存者入院时的FIM总分和运动分（分别为P = 0.004和P = 0.006）以及出院时的FIM总分和运动分增加值（分别为P = 0.008和P = 0.004）显著更高。线性回归分析表明，成为大屠杀幸存者可预测出院时较低的FIM总分（β = -0.17，P = 0.004）。
与非大屠杀幸存者患者相比，大屠杀幸存者的髋部骨折在出院时的FIM总分、运动分及增加值较低。这些结果表明，成为大屠杀幸存者可能会对髋部骨折内固定术后的康复结局产生不利影响。
