Functional results after treatment of hip fracture: a multicentre, prospective study in 215 patients

被引:0
作者
Koot, VCM
Peeters, PHM
de Jong, JR
Clevers, GJ
van der Werken, C
机构
[1] Univ Utrecht Hosp, Julius Ctr Patient Oriented Res, NL-3508 GA Utrecht, Netherlands
[2] St Antonius Hosp, Dept Surg, Nieuwegein, Netherlands
[3] Diakonessen Hosp, Dept Surg, Utrecht, Netherlands
[4] Univ Utrecht Hosp, Dept Surg, NL-3508 GA Utrecht, Netherlands
关键词
hip fractures; elderly; mobility; Barthel score; Mini Mental State score; complications; coexisting diseases;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: To find out which factors influence outcome after a fractured hip, so that the optimum treatment may be chosen for each patient. Design: Prospective cohort study. Setting: 3 teaching and 2 rural hospitals, The Netherlands Subjects: 215 patients aged 55-102 years (median 82) who presented with a fractured hip during 1994. Interventions: Interviews shortly after the injury and 3 and 12 months later, study of radiographs, and evaluation of casenotes. Main outcome measures: Mobility and functional recovery. Results: 38 patients had died by the it-month follow up, at which time 63/177 (36%) had regained the level of mobility that they had before the injury. At 12 months the figure was 58/148 (39%). The corresponding figures for functional recovery were 52/177 (29%) and 36/148 (24%). Factors that militated against recovery were increasing age, coexisting diseases, general complications and local complications. Conclusions: The chance of a patient with a hip fracture making any further recovery after 3 months is minimal. Local complications are the most important risk factor.
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页码:480 / 485
页数:6
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