Japanese

Title	回復期リハビリテーション病棟における大腿骨近位部骨折患者の転帰先の予測因子の検討
Subtitle	原著
Authors	木村優斗*1, 村上正和*2
Authors (kana)
Organization	*1社会医療法人仁生会西堀病院リハビリテーション課, *2日本医療大学保健医療学部リハビリテーション学科作業療法学専攻
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	60
Number	12
Page	1197-1204
Year/Month	2023 / 12
Article	原著
Publisher	日本リハビリテーション医学会
Abstract	「要旨」 目的: 本研究の目的は, 決定木分析を用いて回復期リハビリテーション病棟における大腿骨近位部骨折患者の転帰先に必要な条件を明らかにし, 在宅復帰のモデルを提示することである. 対象: 2018年1月〜2022年6月に当院回復期リハビリテーション病棟から退院した患者181名とした. 方法: 転帰先によって自宅群と施設群に分類し, 基本属性, 入院時FIM, 入院時MMSEについて対応のないt検定, χ2検定およびMann-Whitney U検定を用いて2群間で比較後, 決定木分析を実施した. 結果: 決定木分析による解析の結果, 入院時FIMの問題解決とトイレ動作からなる決定木が得られ, 入院時FIMの問題解決が4点以下の場合には自宅退院が困難となる(自宅復帰率9.7〜28.6%)などのルールが得られた. 結語: 大腿腿骨近位部骨折患者の在宅復帰を検討する場合は, 入院時FIMの問題解決とトイレ動作を組み合わせて判断することが重要であることが示された.
Practice	医療技術
Keywords	回復期リハビリテーション病棟 (convalescent rehabilitation ward), 転帰先 (destination), 大腿骨近位部骨折 (proximal femoral fracture)

English

Title	Predictors of the Outcome Destination of Patients with a Proximal Femoral Fracture in a Convalescent Rehabilitation Ward
Subtitle
Authors	Yuto Kimura*1, Masakazu Murakami*2
Authors (kana)
Organization	*1Social Medical Corporation Ijinkai, Nakamura Memorial Hospital, Department of Rehabilitation, *2Japan Healthcare University Faculty of Health Sciences, Department of Rehabilitation, Division Occupational Therapy
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	60
Number	12
Page	1197-1204
Year/Month	2023 / 12
Article	Original article
Publisher	The Japanese Association of Rehabilitation Medicine
Abstract	[Abstract] Purpose: This study aimed to clarify the conditions necessary for patients with a proximal femoral fracture in the convalescent ward to return home using a decision tree analysis. This study included 181 patients who were discharged from the convalescent ward between January 2018 and June 2022. Methods: Patients divided into two groups: home vs. facility according to the outcome. Basic characteristics, FIM at admission, and MMSE at admission were compared using the unpaired t-test, χ2 test, and Mann-Whitney U test, and a decision tree analysis was performed. Results: The decision tree analysis based on functional independence measures (FIM) on admission and toileting activities, etc. found that discharge was difficult (return home rate: 9.7%-28.6%) when the problem-solving aspect of the FIM on admission was less than 4 points. Conclusion: When discharging patients with a proximal femoral fracture from the hospital, it is important to consider a combination of problem-solving in the admission FIM and toileting activities.
Practice	Medical technology
Keywords	convalescent rehabilitation ward, destination, proximal femoral fracture

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