Key result
Patients able to walk at discharge after non-operative hip fracture treatment had significantly higher FIM-Motor scores (65.5 vs 28.6) and serum albumin levels compared to immobile patients.
Why the study?
Data were limited regarding the outcomes of non-operative treatment for hip fractures.
Observational (n=57)
No
Higher serum albumin levels and better cognitive function are associated with improved motor functional outcomes at discharge in patients undergoing non-operative treatment for hip fractures.
May support prognostic assessment at discharge after non-operative hip fracture; leaves open whether mobility interventions improve outcomes.
[Purpose] Limited data are available regarding the outcomes of non-operative treatment for hip fractures. We investigated the factors associated with functional rehabilitation outcomes in patients undergoing non-operative treatment for hip fractures. [Participants and Methods] We investigated 57 patients with hip fractures who underwent non-operative treatment. We retrospectively analyzed medical or rehabilitation outcomes and functional outcomes (assessed using the Functional Independence Measure tool). We examined the association between functional outcomes and other factors and compared the medical and rehabilitation outcomes between mobile and immobile patients at the time of discharge. [Results] Of the 57 patients investigated, 15 (26.3%) were mobile at discharge. We observed a significant association between the Functional Independence Measure subscores (Motor and Cognitive) and serum albumin levels. Serum albumin levels and the Functional Independence Measure subscores (Motor and Cognitive) were significantly higher in mobile than in immobile patients. [Conclusion] We observed that functional outcomes at discharge in patients undergoing non-operative treatment for hip fractures were associated with serum albumin ratios and the Functional Independence Measure-Cognitive score.
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Nakamura et al. (2019) conducted an observational in Hip fractures treated non-operatively (n=57). Ability to walk at discharge vs. Inability to walk at discharge was evaluated on Functional Independence Measure (FIM) Motor sub-score at discharge (p=<0.01). Patients able to walk at discharge after non-operative hip fracture treatment had significantly higher FIM-Motor scores (65.5 vs 28.6) and serum albumin levels compared to immobile patients.
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