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Ann Geriatr Med Res > Volume 22(1); 2018 > Article
Annals of Geriatric Medicine and Research 2018;22(1):26-32.
DOI: https://doi.org/10.4235/agmr.2018.22.1.26    Published online March 31, 2018.
Determinants of Functional Outcomes Using Clinical Pathways for Rehabilitation After Hip Fracture Surgery
Ji Ho Kang, Gangpyo Lee, Kyoung Eun Kim, Young Kyun Lee, Jae Young Lim
1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. drlim1@snu.ac.kr
2Department of Rehabilitation Medicine, Incheon Workers' Compensation Hospital, Incheon, Korea.
3Department of Rehabilitation Medicine, The Armed Forces Capital Hospital, Seongnam, Korea.
4Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Correspondence:  Jae Young Lim, Tel: +82-31-787-7739, Fax: +82-31-787-4051, 
Email: drlim1@snu.ac.kr
Abstract
BACKGROUND
This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes in rehabilitation programs using standardized clinical pathways.
METHODS
This was a retrospective cohort study performed in a tertiary rehabilitation facility. A total of 220 patients who had received unilateral hip fracture surgery were followed up from immediately after surgery to 6 months postoperatively. Clinical pathways for rehabilitation included early, individualized rehabilitation, education for activities of daily living, review of general medical conditions, and arrangement of discharge settings. One rehabilitation specialist consecutively checked ambulatory function using 3-level grading, and patients were classified into good recovery and poor recovery groups based on ambulatory function at 6 months postoperatively. Logistic regression analysis was performed using 7 representative variables (age, sex, bone mineral density, Mini-Mental Status Examination [MMSE], Berg Balance Scale [BBS], premorbid ambulatory function, and length of hospital stay).
RESULTS
A total of 86.8% of patients could walk with or without assistance at 6 months after surgery and 75.5% of patients involved in the rehabilitation program were classified into the good recovery group in this study. The good recovery group showed higher MMSE and BBS scores compared with the poor recovery group. The factors in the model most strongly correlated with recovery were MMSE and BBS.
CONCLUSION
This study showed that a well-designed rehabilitation program could improve ambulatory function in older patients after hip fracture surgery and that cognitive impairment and poor balance control may inhibit the recovery of ambulatory function.
Key Words: Hip fracture, Clinical pathway, Rehabilitation program, Ambulatory function, Functional recovery


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