Mortality, Survival, and Readmissions During a 12-Month Follow-Up After Hip Fracture: Inpatient Rehabilitation Versus Home Rehabilitation.

IF 1.1 4区 医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2023-07-01 DOI:10.1097/RNJ.0000000000000423
Merav Ben Natan, Rawan Masarwa, Yaniv Yonai, Binyamin Finkel, Yaron Berkovich
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Abstract

Purpose: This study compared readmissions, survival, and mortality during a 12-month follow-up period of inpatient rehabilitation and home rehabilitation for older persons who had experienced a hip fracture.

Methods: This work was retrospective cohort research. Between January 1 and December 30, 2019, the medical records of 280 elderly patients who were admitted to a hospital with a hip fracture were analyzed. Of these patients, 74.3% received inpatient rehabilitation, whereas 25.7% received home rehabilitation.

Results: In terms of readmissions and death, there were no appreciable differences between the inpatient rehabilitation and home rehabilitation groups. The patients in the inpatient rehabilitation group were older; more likely to need assistance with activities of daily living; and were taking, on average, more prescription drugs on a daily basis than those in the home rehabilitation group.

Conclusions and clinical relevance: In conclusion, as better outcomes were expected for the home rehabilitation group, which on average included less complicated patients, our findings suggest that the home rehabilitation pathway may not be a good alternative to the inpatient rehabilitation pathway.

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髋部骨折后12个月随访期间的死亡率、生存率和再入院:住院康复与家庭康复。
目的:本研究比较了经历髋部骨折的老年人在12个月的住院康复和家庭康复随访期间的再入院率、生存率和死亡率。方法:采用回顾性队列研究。对2019年1月1日至12月30日住院的280例老年髋部骨折患者的医疗记录进行分析。其中74.3%接受住院康复治疗,25.7%接受家庭康复治疗。结果:在再入院和死亡方面,住院康复组和家庭康复组之间没有明显差异。住院康复组患者年龄较大;更有可能在日常生活活动中需要帮助;他们平均每天服用的处方药比家庭康复组的要多。结论及临床意义:综上所述,由于家庭康复组的平均病情较轻,预期预后较好,我们的研究结果表明,家庭康复途径可能不是住院康复途径的良好选择。
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来源期刊
Rehabilitation Nursing
Rehabilitation Nursing 医学-护理
CiteScore
1.90
自引率
7.70%
发文量
68
审稿时长
>12 weeks
期刊介绍: Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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