Advocaat C, Bautz-Holter E
Klinikk for geriatri og rehabilitering, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Oct 30;117(26):3801-3.
This study evaluates the demography and health in a hip fracture population, and predictors of outcome one year after the fractures occurred. Physical, mental and social functioning in 109 patients who were referred from home with hip fractures were assessed retrospectively; during the hospital stay, at discharge, and after 4 and 12 months. Mobility, Katz' ADL-index and a short-version of MMSE were used in assessing their physical and mental conditions. No essential changes were found in either demography or health. The most significant predictors of outcome were age, prefracture mobility and post-fracture mental status. The proportion of patients suffering from acute confusion was considerable. The result was a higher risk of mortality, institutionalisation and poor physical outcome. It is important to pay more attention to the prevention and treatment of cases involving acute confusion.
本研究评估了髋部骨折人群的人口统计学特征和健康状况,以及骨折发生一年后的预后预测因素。对109例在家中因髋部骨折转诊的患者的身体、心理和社会功能进行了回顾性评估;评估时间为住院期间、出院时、4个月和12个月后。采用活动能力、卡茨日常生活活动指数和简易精神状态检查表的简版来评估他们的身体和精神状况。在人口统计学特征或健康状况方面均未发现实质性变化。预后的最重要预测因素是年龄、骨折前的活动能力和骨折后的精神状态。患有急性意识障碍的患者比例相当高。结果是死亡、入住机构护理和身体预后不良的风险更高。重视涉及急性意识障碍病例的预防和治疗很重要。