Relationship Between Total Walking Distance on the First Day of Walking After Hip Fracture Surgery and Walking Status at Discharge in the Elderly
- VernacularTitle:大腿骨近位部骨折術後における歩行練習開始日の総歩行距離と退院時の歩行再獲得の関係
- Author:
Yasushi KUROBE
1
;
Naoko USHIYAMA
1
;
Kimito MOMOSE
2
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2021;70(2):95-103
- CountryJapan
- Language:Japanese
- Abstract: The main purpose of this retrospective cohort study was to examine the relationship between total walking distance on the first day of walking after surgery for hip fracture and walking status at discharge in the elderly. The inclusion criteria were age 65 years or older and ability to walk independently with or without a walking aid before the injury. Sex, age at admission, fracture type, type of surgical procedure, Revised Hasegawa Dementia Scale score, time from surgery to the first day of walking, total walking distance on the first day of walking, walking status at discharge, and length of hospitalization were investigated from the electronic medical records. We then examined the investigated the relationship between walking status at discharge and total walking distance on the first day of walking after surgery. Mean age of the patients was 79.5 years, and 6 patients had cognitive impairment. A total of 12 patients were able to walk 50m at discharge. In bivariate logistic regression analysis, total walking distance on the first day of walking was found to be a significant predictor of walking status. Therefore, total walking distance on the first day of walking after hip fracture surgery appears to be a useful predictor for the walking status at discharge in Japanese general hospitals.
