Department of Rehabilitation, Teikyo University School of Medicine University Hospital, Mizonokuchi, Kawasaki, Japan.
Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, Kawasaki, Japan.
Geriatr Gerontol Int. 2018 Aug;18(8):1143-1146. doi: 10.1111/ggi.13326. Epub 2018 Apr 6.
To test the hypothesis that the functional outcome of hip fracture patients who receive weekend rehabilitation is better than that of similar patients who undergo non-weekend rehabilitation.
The present retrospective observational study used data from the Japan Rehabilitation Database spanning 2005-2015. We identified in-hospital hip fracture patients admitted to acute hospitals. After applying exclusion criteria, 469 patients were eligible. The primary outcome was motor Functional Independence Measure (FIM) efficiency.
Of the patients with hip fracture, 68.0% received weekend rehabilitation. The patients who received weekend rehabilitation had significantly higher scores in motor FIM efficiency (mean 1.08 vs 0.73, P < 0.001), FIM efficiency (mean 1.12 vs 0.79, P = 0.001) and shorter length of stay (mean 32 vs 54, P < 0.001) than the patients without weekend rehabilitation. Multivariate linear regression analysis identified the weekend rehabilitation as a significant factor in motor FIM efficiency (coefficient 0.237, 95% confidence interval 0.074-0.400, P = 0.004), FIM efficiency (coefficient 0.235, 95% confidence interval 0.079-0.391, P = 0.003) and length of stay (coefficient -9.649, 95% confidence interval -18.194 to -1.104, P = 0.027).
The present cohort analysis showed that weekend rehabilitation for hip fracture patients can lead to functional recovery and reduce the length of stay. Geriatr Gerontol Int 2018; 18: 1143-1146.
验证髋部骨折患者在周末接受康复治疗的功能预后是否优于非周末接受康复治疗的类似患者。
本回顾性观察性研究使用了 2005 年至 2015 年日本康复数据库的数据。我们确定了入住急性医院的住院髋部骨折患者。在应用排除标准后，有 469 名患者符合条件。主要结局是运动功能独立性测量（FIM）效率。
髋部骨折患者中，68.0%接受了周末康复治疗。接受周末康复治疗的患者在运动 FIM 效率（平均 1.08 比 0.73，P < 0.001）、FIM 效率（平均 1.12 比 0.79，P = 0.001）和较短的住院时间（平均 32 比 54，P < 0.001）方面得分显著更高。多变量线性回归分析确定周末康复治疗是运动 FIM 效率（系数 0.237，95%置信区间 0.074-0.400，P = 0.004）、FIM 效率（系数 0.235，95%置信区间 0.079-0.391，P = 0.003）和住院时间（系数-9.649，95%置信区间-18.194 至-1.104，P = 0.027）的显著因素。
本队列分析表明，髋部骨折患者的周末康复治疗可促进功能恢复并缩短住院时间。
老年医学与老年病学国际杂志 2018; 18: 1143-1146.
