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| Factors influencing the ability of daily living of elderly patients with lower extremity fractures after discharge |
| WU Xiaoxiu FANG Xucheng |
| The Second Department of Orthopaedic, the First People′s Hospital of Anqing City，Anhui Province, Anqing 246003, China |
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Abstract Objective To explore the daily living ability and its influencing factors of elderly patients with lower limb fracture after discharge from hospital. Methods A total of 223 elderly patients with lower extremity fractures were selected from the First People′s Hospital of Anqing City in Anhui Province from August 2016 to December 2017. The age, sex, education, marital status, fracture side, fracture location, fracture type, injury cause, complications, timing of operation, anesthesia, American society of anesthesiologists ASA classification, complications after fracture, time of loading after operation, and anti-osteoporosis treatment were recorded, and the correlation between the above data and the daily life function recovery scale (FRS) was analyzed. Results The FRS score of 223 patients was 22-98 points, and average (68.54±6.38) points after 3 months. Multivariate Logistic regression equation showed that the fracture site (hip fracture) (OR = 1.872, 95% CI: 1.208-4.054), age ≥75 years (OR = 2.613, 95%CI: 1.792-6.945) and the number of complications after fracture (OR = 4.105, 95%CI: 2.425-10.413) were the factors affecting patients′ daily living ability (P ＜ 0.05). Conclusion Many factors can affect the daily living ability of the elderly patients with lower limb fracture after operation. Clinicians should make accurate judgments according to the patients′ situation, and carry out targeted treatment to improve the daily living ability of the patients.
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