Relationship between Training Time and Motor FIM at Discharge in Patients with Femoral Neck Fracture
10.2490/jjrmc.52.751
- VernacularTitle:大腿骨頸部骨折患者の訓練単位数と退院時運動FIMとの関係―日本リハビリテーション・データベースの分析―
- Author:
Makoto Tokunaga
;
Katsunori Kondo
- Publication Type:Journal Article
- Keywords:
femoral neck fracture;
Functional Independence Measure;
training time;
rehabilitation
- From:The Japanese Journal of Rehabilitation Medicine
2015;52(12):751-759
- CountryJapan
- Language:Japanese
-
Abstract:
This study sought to elucidate the relationship between units of rehabilitative training time and Functional Independence Measure (FIM) at time of discharge in femoral neck fracture patients. The subjects were 795 patients with femoral neck fracture from 19 hospitals registered in the Japan Rehabilitation Database who satisfied the inclusion criteria. Separating these into 15 hospitals (371 cases) where surgery was performed at outside institutions and 14 hospitals (424 cases) where surgery was performed in-house, multiple regression analysis was performed using six explanatory variables including hospital dummy and training time units, and motor FIM score at discharge as an objective variable. In the outside surgery group, whose training time units ranged from 0.8 to 8.6, the coefficient was not significant. However, it became significant when narrowed to two hospitals comprising more than 50 cases (B=2.187). The in-house surgery group's training time units represented a significantly positive coefficient (1.427). It is thought that if the number of training time units used for patients with femoral neck fractures increases by one unit, then the patient's motor FIM score at discharge will rise about 1.4 to 2 points.
