Prognosis-determined rehabilitation of hip fractures.
Hip fracture patients were selected for rehabilitation using a prognostic scheme created by multiple linear discriminant analysis. The outcome of positive or negative rehabilitation prognosis was depicted graphically against time. The majority of patients (77%) who had been admitted from their own homes had a good prognosis, and 84% of them returned home within 2 months. The optimum rehabilitation time for patients with a negative prognosis was reached 4 months post-fracture, by which time most of them had either returned to their own or to an old people's home. Although the majority (84%) from the latter had a negative prognosis, more than half (53%) were rehabilitated within 2 months. Prognosis-determined rehabilitation was found to be effective. Cost efficient management of the increasing number of fractures in the elderly demands short hospitalization and minimum institutional reconvalescence.
Thorngren
M
M
Department of Community Health Science, Lund University Hospital, Sweden.
Nilsson
L T
LT
Thorngren
K G
KG
D000368:Aged; D000369:Aged, 80 and over; D005265:Femoral Neck Fractures / Q000534:rehabilitation*; D006620:Hip Fractures / Q000534:rehabilitation*; D006701:Home Nursing; D006707:Homes for the Aged; D006801:Humans; D007902:Length of Stay; D009735:Nursing Homes; D010359:Patient Readmission; D011237:Predictive Value of Tests; D011379:Prognosis; D012044:Regression Analysis