Original Article

Approaches to hip fractures in convalescent rehabilitation wards - Consideration of length of stay, number of sessions, and discharge destination

Shinichiro Maeshima, MD, PhD, Aiko Osawa, MD, PhD, Daisuke Nishio, RPT, MA, Yoshitake Hirano, RPT, Hiroshi Kigawa, MD
Jpn J Compr Rehabil Sci 3: 72-77, 2012

Purpose: Factors that influence activities of daily living (ADL) and the discharge destination of hip fracture patients hospitalized in convalescent rehabilitation wards were examined from the viewpoint of the amount of time spent in rehabilitation sessions and the duration of hospitalization.
Methods: The study subjects were 50 patients suffering from hip fracture. We evaluated the preinjury condition, cognitive function, uninjured side leg extensor muscle strength, and activities of daily living (ADL) for each patient. The discharge destination was generally divided into a ghomeh group and a gfacility/ hospital transferh group, and a comparative examination was carried out regarding the relationship between the overall number of rehabilitation sessions conducted, including physiotherapy and occupational therapy, and the daily number of sessions.
Results: FIM efficiency declined greatly from 0.32 (n = 30) for the 4th through 6th weeks after hospitalization to 0.11 (n = 20) for the 6th to 8th weeks, and in a post hoc test, a significant difference (p = 0.0069) was observed in FIM efficiency between weeks 2-4 and weeks 6-8.
Conclusion: The results suggest that for hip fracture patients, about 6 weeks after being admitted to a convalescent rehabilitation ward, post-discharge guidance including nursing care service and family coaching is necessary.

Key words: hip fractures, convalescent rehabilitation wards, number of sessions, length of stay

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