[Prolonged duration of rehabilitation in patients with COPD after femoral neck fracture].

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.