2017 Volume 7 Issue 2 Pages 63-67
This study aimed to clarify factors promoting the discharge of very elderlypatients with proximal femoral fractures to home. The following items were examined, involving patients with proximal femoral fractures aged 85 or over on the post-acute rehabilitation ward of a hospital: the age, sex, height, weight, surgical procedure, motor/cognitive-FIM and MMSE scores, hand grip strength, and family structure. Logistic regression analysis was performed, with the patients divided into home and non-home groups based on their discharge destinations. Through analysis, the motor-FIM score and family structure were extracted as independent factors related to the discharge destination. Therefore, to promote the discharge of very old patients with proximal femoral fractures to home, importance should be attached to approaches to increase their levels of ADL independence and improve environmental arrangements, such as housing repair and assistive technology use. It may also be important to focus on the presence/absence of other family members living with them.
