Hiromichi Metani, MD, PhD, Akio Tsubahara, MD, PhD, Takashi Hiraoka, MD, PhD,
Sosuke Seki, MD, PhD, Toru Hasegawa, MD, PhD
Jpn J Compr Rehabil Sci 6: 43-49, 2015
Objective: The objectives of this study were to
examine the risk factors for patients who develop
pneumonia either before or after hip fracture surgery
and to investigate the utility of dysphagia rehabilitation
and oral care.
Methods: The medical histories of 145 patients who
were hospitalized for a new hip fracture and underwent
surgical treatment were retrospectively investigated,
and the rate of and risk factors for pneumonia were
evaluated.
Results: The rate of pneumonia with hip fracture was
14.5%. Psychiatric disorders, history of stroke, time
between admission and surgery, blood hemoglobin
concentration, serum total protein level, and serum
albumin level were risk factors associated with
pneumonia. In particular, the serum albumin level and
psychiatric disorders were independent risk factors.
Conclusion: The majority of pneumonias that develop
either after admission or after hip fracture surgery are
considered to be aspiration pneumonias, and their
frequency was greater than expected. Since patients
with malnutrition or psychiatric disorders are more
susceptible to pneumonia, ascertaining the patientfs
activities of daily living prior to injury and conducting
thorough oral care are considered essential for preventing
aspiration pneumonia.
Key words: aspiration pneumonia, dysphagia, femoral neck fracture, intertrochanteric fracture, malnutrition