Koval K J, Skovron M L, Polatsch D, Aharonoff G B, Zuckerman J D
Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003, USA.
J Orthop Trauma. 1996;10(8):531-5. doi: 10.1097/00005131-199611000-00004.
Five hundred and sixteen community-dwelling, ambulatory, geriatric hip fracture patients who were independent prior to fracture were followed prospectively to determine which patients regained their prefracture independent living status at 3-, 6-, and 12-month follow-up. At 3-, 6-, and 12-month follow-up, 78, 77, and 76% of the patients, respectively, had regained their prefracture independent living status. Analysis was performed to determine which pre- and postinjury factors were predictive of a patient regaining prefracture independent living status at 3, 6, and 12 months after fracture. Patients who were younger than age 85, independent in activities of daily living prior to fracture, independent in ambulation at hospital discharge, and who had three or more medical comorbidities were more likely to regain their prefracture independent living status.
516例社区居住、能行走的老年髋部骨折患者，这些患者在骨折前生活能够自理，对其进行前瞻性随访，以确定哪些患者在3个月、6个月和12个月的随访时恢复到骨折前的独立生活状态。在3个月、6个月和12个月的随访中，分别有78%、77%和76%的患者恢复到骨折前的独立生活状态。进行分析以确定哪些伤前和伤后因素可预测患者在骨折后3个月、6个月和12个月恢复到骨折前的独立生活状态。年龄小于85岁、骨折前日常生活能够自理、出院时行走能力独立且有三种或更多内科合并症的患者更有可能恢复到骨折前的独立生活状态。
