Outcomes of Intermediate Phase Fragility Hip Fracture Patient Rehabilitation in Samphran Hospital
Keywords:
Intermediate care, fragility hip fracture, rehabilitation outcomeAbstract
Background: Currently, Thailand has completely entered an aging society, resulting in an increase the incidence of Fragility hip fracture. If this group does not receive treatment and appropriate rehabilitation, it will result in various complications and higher mortality rate. The service plan “Intermediate care” has a policy to add fragility hip fracture as a new group that requires intermediate phase rehabilitation. Therefore, we should be a study of rehabilitation outcomes in this group to support management and develop work systems for greater efficiency.
Objectives: To study outcomes of Intermediate care service including functional gain, the effectiveness and efficiency of rehabilitation in fragility hip fracture patients.
Material and Methods: There was retrospective study of intermediate phase fragility hip fracture patients with rehabilitation at Samphran Hospital, Nakornpathom province during May 2023 - May 2024. Demographic data, Barthel index at admission and discharge, CAS at admission and discharge, total time for rehabilitation and complication were extracted from medical records. Functional gain, rehabilitation effectiveness and rehabilitation efficiency were calculated.
Results: Of 60 fragility hip fracture patients, 46 female and 16 males, mean aged was 76.16 (SD 9.38) years. 97% were caused by falls. 50% suffered from femoral neck area fractures. All patients received operative treatment. At discharge, the BI increased significantly (p<0.001) with mean functional gain was 9.38 (SD 3.58). Mean percentage of rehabilitation effectiveness was 77.57 (SD 27.22) and mean rehabilitation efficiency was 2.54 (SD 2.46). At discharge, the CAS also increased significantly (p<0.001). Eleven patients (18%) had at least one complication. The most complication was urinary tract infection. Two patients (3.3%) had hip dislocate and three patients (5%) had recurrent falling but no patient had refracture.
Conclusion: Intermediate phase fragility hip fracture patients receiving rehabilitation at Samphran Hospital had statistically significant improvement in functional score.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
