Ceder L, Lindberg L, Odberg E
Acta Orthop Scand. 1980 Feb;51(1):157-62. doi: 10.3109/17453678008990780.
Two series of elderly patients with hip fracture were compared with regard to hospitalization time and social situation after discharge from hospital. Our series included 131 patients from 1966 with late weight-bearing and 362 patients from 1972--1973, mobilized with early weight-bearing. Approximately two-thirds of the patients came from their own homes and one-third from institutions. The mean hospital stay for patients discharged to their own homes was 7 weeks in 1966 and 3--4 weeks in 1972--1973. This decrease in hospitalization time did not cause any increase in the proportion of patients discharged to institutions. Thus, among patients admitted from their own homes 48 per cent of the survivors returned directly home in 1966, and 62 per cent in 1972--1973. As compared to the prefracture mobility, postoperative mobility at 2 weeks proved to be a better indicator of the patient's chances of returing home. This may be a helpful guide when planning the aftercare of these patients.
对两组老年髋部骨折患者在住院时间和出院后的社会状况方面进行了比较。我们的研究系列包括1966年的131例采用延迟负重的患者以及1972 - 1973年的362例采用早期负重活动的患者。大约三分之二的患者来自自己家中，三分之一来自医疗机构。出院回家的患者平均住院时间在1966年为7周，在1972 - 1973年为3 - 4周。住院时间的缩短并未导致出院到医疗机构的患者比例增加。因此，在从自己家中入院的患者中，1966年48%的幸存者直接回家，1972 - 1973年为62%。与骨折前的活动能力相比，术后2周的活动能力被证明是患者回家可能性的更好指标。这在规划这些患者的后续护理时可能是一个有用的指导。
