Nakamura Keisuke, Sasaki Tomohiro, Yokoyama Marin, Kitagawa Takashi, Akashi Yuto, Shimizu Masayuki
Department of Physical Therapy, Shinshu University, Matsumoto, JPN.
Department of Rehabilitation, Matsumoto City Hospital, Matsumoto, JPN.
Cureus. 2024 Jul 10;16(7):e64253. doi: 10.7759/cureus.64253. eCollection 2024 Jul.
Few studies have investigated the factors associated with ambulation and survival over one year. Therefore, this study aimed to examine the factors that influence ambulation and survival rates in elderly patients who have undergone conservative management for hip fractures.
This retrospective study included 74 ambulatory individuals aged 65 years or older prior to their injuries. One-year mortality and ambulatory status were assessed. Statistical comparisons of background and medical characteristics between groups of independent and non-independent walkers, as well as between survivors and mortalities, were performed using the Pearson chi-squared, Fisher exact, and Mann-Whitney U tests.
The numbers of older patients able to walk independently, those not able to walk independently, and those with mortality at one-year post-injury after conservative management of hip fractures were 13 (18.3%), 35 (49.3%), and 23 (32.4%), respectively. Independent walkers one year after conservative treatment for hip fracture were younger (p=0.04) and less likely to have cognitive impairment (p=0.04) than non-independent walkers. The proportion of individuals with cognitive impairment was found to be lower among survivors than among mortalities (p=0.0098).
Cognitive decline may contribute to difficulties in walking independently and mortality at one year post-injury in this population.
很少有研究调查与一年以上行走能力和生存率相关的因素。因此，本研究旨在探讨影响接受髋部骨折保守治疗的老年患者行走能力和生存率的因素。
这项回顾性研究纳入了74名受伤前65岁及以上的能行走个体。评估了一年死亡率和行走状态。使用Pearson卡方检验、Fisher精确检验和Mann-Whitney U检验对独立行走者组和非独立行走者组之间，以及幸存者和死亡者之间的背景和医学特征进行统计学比较。
髋部骨折保守治疗后一年，能够独立行走的老年患者、不能独立行走的老年患者以及死亡的老年患者人数分别为13例（18.3%）、35例（49.3%）和23例（32.4%）。髋部骨折保守治疗一年后的独立行走者比非独立行走者更年轻（p = 0.04），且认知障碍的可能性更小（p = 0.04）。发现幸存者中认知障碍个体的比例低于死亡者（p = 0.0098）。
认知能力下降可能导致该人群受伤后一年独立行走困难和死亡。
