Predictive factors for early ambulation before discharge in patient with post-operative hip fracture in Ratchaburi hospital
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Abstract
Background: Hip fracture is a serious injury commonly affecting the elderly. This condition could lead to disability especially the ambulation problems. Postoperative physical therapy program has been strongly recommended to restore functional movements and reduce complications. Identifying factors affecting independent ambulation before returning home is therefore important for intermediate care planning.
Objective: To study the predicting power of five factors from the literature review including age, hip fracture location, length of surgery after fracture, preoperative physical therapy program and time to start physical therapy after surgery to predict the walking ability before discharge.
Methods: The medical records of 78 patients, age over 60 years were reviewed. The subjects received hip fracture operation at Ratchaburi hospital. Data were analyzed in terms of descriptive and logistic regression statistics.
Results: Patients with femoral neck fractures were 7.1 times more likely to be able to walk before discharge compared with the patients with intertrochanteric fractures (p = 0.001). Other factors were not significant predictors of walking ability before discharge.
Conclusion: The area of hip fracture could predict walking ability after surgery at discharge. Patients with intertrochanteric fractures had a greater chance of losing their walking ability. Physiotherapists should pay special attention to rehabilitation programs in the elderly group with this type of hip fractures. The results of this study are important for guiding the development of rehabilitation care programs for hip surgery patients.
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