Predictors of the Outcome Destination of Patients with a Proximal Femoral Fracture in a Convalescent Rehabilitation Ward

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  • Kimura Yuto
    Social Medical Corporation Ijinkai, Nakamura Memorial Hospital, Department of Rehabilitation
  • Murakami Masakazu
    Japan Healthcare University Faculty of Health Sciences，Department of Rehabilitation，Division Occupational Therapy

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  • 回復期リハビリテーション病棟における大腿骨近位部骨折患者の転帰先の予測因子の検討
  • カイフクキ リハビリテーション ビョウトウ ニ オケル ダイタイコツ キン イブ コッセツ カンジャ ノ テンキサキ ノ ヨソク インシ ノ ケントウ

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Abstract

<p>Purpose：This study aimed to clarify the conditions necessary for patients with a proximal femoral fracture in the convalescent ward to return home using a decision tree analysis. This study included 181 patients who were discharged from the convalescent ward between January 2018 and June 2022.</p><p>Methods：Patients divided into two groups：home vs. facility according to the outcome. Basic characteristics, FIM at admission, and MMSE at admission were compared using the unpaired t-test, χ2 test, and Mann-Whitney U test, and a decision tree analysis was performed.</p><p>Results：The decision tree analysis based on functional independence measures (FIM) on admission and toileting activities, etc. found that discharge was difficult (return home rate：9.7％-28.6％) when the problem-solving aspect of the FIM on admission was less than 4 points.</p><p>Conclusion：When discharging patients with a proximal femoral fracture from the hospital, it is important to consider a combination of problem-solving in the admission FIM and toileting activities.</p>

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