Factors Affected Treatment with The CTF Program in Hip Fracture Patients at Phrae Hospital
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Abstract
BACKGROUND: Hip fractures constitute a major health problem. The CTF program oversees support for Post-fracture Care. Better understanding of the clinical factors affecting poor outcomes in the CTF program will help address the medical management of treatment for hip fracture patients.
OBJECTIVE: To study the factors affecting treatment with the CTF program to assist hip fracture patients at Phrae Hospital.
METHODS: A retrospective cohort study was conducted of all hip fracture patients aged 50 years and older who underwent surgery between 2018 and 2022. Patients were grouped into good and poor treatment outcomes, and multivariable logistic regression was used to analyze the data.
RESULTS: Independent factors for poor treatment outcomes with the CTF program were found to include being 80 years of age or older (OR 9.59), female gender (OR 3.10), fall risk score 3 months after surgery ≥4 points (OR 3.61), balance test 3 and 6 months after surgery < 20 seconds (OR 4.26, 12.38), and a Charlson Comorbidity Index score of 1-2 points (OR 0.26). All factors could predict poor treatment outcomes at 90.85 %.
CONCLUSIONS: Orthopedic surgeons should consider six independent factors to reduce poor treatment outcomes among hip fracture patients.
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