Factors Affecting Postsurgery Hip Fracture Recovery: 影響髖部骨折手術後康復的因素

After hip fracture surgery, patients seldom return to their prefracture functional state and there is a 43% rate of mortality and institutionalisation of postsurgery hip fracture patients. A systematic literature review was conducted to identify preoperative, perioperative, postoperative, and psychosocial factors that may hinder postsurgery hip fracture patients from returning to previous functionality. Factors that were identified as being associated with postsurgical outcomes were age, muscle strength, prefracture living arrangements, number of daily medications taken, oxygen levels, fracture type and location, haemoglobin (Hb) level, wait time prior to surgery, length of hospital stay (LOS), and dementia or depression.

中文摘要髖部骨折手術後，病人很少回到自己的骨折前的功能狀態，而且有43%的病人有死亡或需要住進院舍的情況。我們用系統性文獻回顧的方法，辨認手術前，手術中，手術後及社會心理等可能會阻礙接受髖部骨折手術病人回到以前功能的因素。研究中被確定與手術後效果有關的因素是：年齡、肌肉力量、骨折前的生活安排、每天服用的藥物、氧氣水平的數量、骨折的類型和位置、血紅蛋白水平、等待手術的時間、住院天數和是否患老年癡呆症或抑鬱症。