Abstract
BackgroundLittle is known about risk factors that may prevent hip fracture patients from being discharged to home. The present study was developed to investigate possible prognostic factors.Materials and methodsWe studied 345 patients with hip fracture treated at our hospital since 1997, who were living at home before the injury. There were 84 males and 261 females. Mean age at injury was 81.6 years. Fracture type was femoral neck fracture in 152 patients and trochanteric fracture in 193. Patients were divided into those who were discharged to home (home discharge group) and those who were discharged to rehabilitation facilities or died in hospital (non-home discharge group). Gender, age at admission, fracture type, and other factors were investigated. Multivariate analysis was conducted on these variables for the home discharge and non-home discharge groups.ResultsThere were 202 patients (58.6%) in the home discharge group and 143 patients (41.4%) in the non-home discharge group. The factors significantly associated with not achieving the goal of discharge to home were age 85 years or above [odds ratio (OR) = 1.79, P = 0.0204], chronic systemic diseases (OR = 1.77, p = 0.0225), dementia (OR = 3.17, P < 0.0001), and walking disability before injury (OR = 5.70, P = 0.0328).ConclusionsIn elderly patients with hip fracture, the risk factors that predict difficulties with discharge to home include age at admission, concomitant chronic systemic diseases and dementia, and walking disability before injury.
Highlights
The ultimate goal of patients who sustain hip fracture is to regain walking ability and return to the patient’s familiar community environment, in other words, his/her own home
Background Little is known about risk factors that may prevent hip fracture patients from being discharged to home
Materials and methods We studied 345 patients with hip fracture treated at our hospital since 1997, who were living at home before the injury
Summary
The ultimate goal of patients who sustain hip fracture is to regain walking ability and return to the patient’s familiar community environment, in other words, his/her own home. We reviewed patients treated for hip fracture to examine whether it is possible to predict, at time of admission, those who would have difficulties with discharge to home, and the risk factors involved. The factors significantly associated with not achieving the goal of discharge to home were age 85 years or above [odds ratio (OR) = 1.79, P = 0.0204], chronic systemic diseases (OR = 1.77, p = 0.0225), dementia (OR = 3.17, P \ 0.0001), and walking disability before injury (OR = 5.70, P = 0.0328). Conclusions In elderly patients with hip fracture, the risk factors that predict difficulties with discharge to home
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