Zeitschrift fur Orthopadie und Unfallchirurgie · 2009
[Prolonged duration of rehabilitation in patients with COPD after femoral neck fracture].
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Smrke D, Biscevic M, Rejec B, Smajic S
Аннотация
INTRODUCTION: The aim of this study was to estimate the influence of concomitant diseases and the cooperation of patients on the duration of rehabilitation after femoral neck fractures.
MATERIAL AND METHOD: This study reviewed 493 patients with dislocated femoral neck fracture treated with hip endoprostheses.
RESULTS: The duration of hospitalisation and rehabilitation periods were significantly shorter (p = 0.0001) for patients with high cooperation and motivation. Pulmonary diseases led to a significantly prolonged rehabilitation process (p < or = 0.05). Other comorbidities like diabetes mellitus, cardiovascular diseases or concomitant neurological diseases did not have a significant influence on the duration of the rehabilitation process (p > or = 0.05).
DISCUSSION: Our results suggest that less cooperative patients and patients with pulmonary diseases have to be supported psychologically to improve the cooperation and to avoid long-lasting rehabilitation. Perioperatively, we recommend an optimizing treatment of chronic obstructive pulmonary diseases by a specialist.
MATERIAL AND METHOD: This study reviewed 493 patients with dislocated femoral neck fracture treated with hip endoprostheses.
RESULTS: The duration of hospitalisation and rehabilitation periods were significantly shorter (p = 0.0001) for patients with high cooperation and motivation. Pulmonary diseases led to a significantly prolonged rehabilitation process (p < or = 0.05). Other comorbidities like diabetes mellitus, cardiovascular diseases or concomitant neurological diseases did not have a significant influence on the duration of the rehabilitation process (p > or = 0.05).
DISCUSSION: Our results suggest that less cooperative patients and patients with pulmonary diseases have to be supported psychologically to improve the cooperation and to avoid long-lasting rehabilitation. Perioperatively, we recommend an optimizing treatment of chronic obstructive pulmonary diseases by a specialist.