Elderly Patients with Proximal Femoral Fracture Who Returned to Living at Home with Their Spouse
10.2185/jjrm.65.9
- VernacularTitle:高齢夫婦二人世帯に発症した大腿骨近位部骨折の自宅復帰について
- Author:
Koji SUZUKI
;
Sadaomi KAWACHI
;
Hideki NANKE
;
Hiromichi AOYAMA
;
Kei INOMATA
;
Naoko ARAYA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2016;65(1):9-14
- CountryJapan
- Language:Japanese
-
Abstract:
We investigated whether elderly patients who were treated for proximal femoral fracture and who lived with an elderly spouse in the community were able to return home and walk. We identified 85 patients aged over 65 years with proximal femoral fracture treated between January 2007 and December 2013 who were living with only their spouse. We recorded the number (proportion) of patients who were directly discharged to home and the duration of hospitalization, and their walking ability before the injury and at the time of discharge. We also investigated whether dementia and age affected the ability to return home. Thirty-two patients (36%) returned home directly from an acute care hospital, and 35 patients (83%) returned home directly from a rehabilitation hospital. The mean duration of hospitalization was 31 days (range, 17-71 days) at an acute care hospital, and 61 days (range, 5-143 days) at a rehabilitation hospital. The walking ability of all patients was worse at the time of discharge. Dementia and increasing age were each associated with not being able to return home.
