Examination of Gait Prognosis and Related Factors in Proximal Femur Fracture with Reduced Nutritional Status

Abstract

[Purpose] This study focused on patients with malnourished proximal femoral fractures. Walking ability at discharge was examined and factors related to walking ability were sought. [Participants and Methods] The participants were 66 patients with proximal femoral fractures. Walking ability at discharge was examined, and the characteristics of each group classified by walking ability were investigated. [Results] At discharge, 22 persons (34%) were in the independent group, 24 (36%) in the monitoring group, and 20 (30%) in the assistance group. In the comparison among groups, significant differences were found in the walking ability before injury, the walking ability during hospitalization, and the cognitive function during hospitalization. [Conclusion] Persons in the independent group had been able to walk independently before the injury. In addition, they were characterized by high walking ability and cognitive function at the time of hospitalization. The results suggest these factors are related to walking ability.