“Familial Care Ability Score” is Effective in Determining Discharge Destination in Patients with Hip Fractures
10.2185/jjrm.62.
- VernacularTitle:大腿骨近位部骨折患者の退院先決定に「家族介護力スコア」が有用である
- Author:
Yuji KAWABATA
;
Mami HAYASHI
;
Satomi FUJIMORI
;
Yasuhiro SUMIKAWA
;
Chiaki KAWANO
;
Koji OGAWA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2013;62(4):610-617
- CountryJapan
- Language:Japanese
-
Abstract:
The purpose of this study was to clarify the effectiveness the score of the family’s ability to care to determine the discharge destination in patients with hip fractures. The subjects were 73 patients with hip fractures, who were admitted to the subacute care ward. They were classified into two groups: 48 patients who were discharged to home and 25, who were transferred to some other hospital or nursing home. The following parameters were compared between the two groups: sex, age, preinjury level of independence in daily living for the disabled elderly, level of independence in daily living for the demented elderly during hospitalization, FIM (Functional Independence Measure) at the time of discharge from hospital, number of family caregivers, familial care ability score, and length of hospitalization. The parameters presenting significant differences were used as independent variables in multiple logistic regression analysis, with discharge outcome as the dependent variable. The parameters presenting significant differences between the two groups were “FIM at hospital discharge” and “familial care ability score”. In addition, multiple logistic regression analysis revealed that “FIM at hospital discharge” and “familial care ability score” were significantly related to discharge outcome. Results of receiver operating characteristic analysis (area under the curve) for &ldqup;FIM at hospital discharge,” “familial care ability score,” and “FIM at hospital discharge＋familial care ability score” were 0.763, 0.681, and 0.786, respectively. Furthermore, the area under the curve for “FIM at discharge＋familial care ability score” was higher compared with those for the other parameters. Thus, we demonstrated that familial care ability score was effective in determining the discharge destination in patients with hip fractures.
