Predicting Discharge Difficulties After Hip Fracture
Author Information
Author(s): Hagino Tetsuo, Ochiai Satoshi, Sato Eiichi, Watanabe Yoshiyuki, Senga Shinya, Haro Hirotaka
Primary Institution: Kofu National Hospital
Hypothesis
What risk factors predict difficulties with discharge to home for patients with hip fractures?
Conclusion
Elderly patients with hip fractures face significant challenges in being discharged to their own homes due to factors like age, chronic diseases, dementia, and walking disabilities.
Supporting Evidence
- 58.6% of patients were discharged to their own home.
- Age 85 years or above was significantly associated with not achieving home discharge.
- Dementia was found to be a strong predictor of difficulties with discharge.
- Walking disability before injury greatly increased the odds of not being discharged home.
Takeaway
Older people who break their hips might have a hard time going back home after the hospital because of their age and health problems.
Methodology
The study analyzed 345 patients with hip fractures, comparing those discharged home versus those who were not, using multivariate analysis on various health factors.
Limitations
The study did not follow up on patients transferred to rehabilitation facilities, leaving long-term outcomes unclear.
Participant Demographics
The study included 345 patients, 84 males and 261 females, with a mean age of 81.6 years.
Statistical Information
P-Value
0.0204
Confidence Interval
(1.09–2.93)
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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