Functional improvement in patients with hip surgery repair, depending on Length of Stay and age, using the Functional Independence Measure (FIM™).
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Vorniotakis Panagiotis, Pasvantis Demitrios, Georgiadou Elerni, Papoutsi Evi, Eleftheriadis Michalis, Bakas Eleftherios
7th meeting of the International Medirranean Society of Orthopedic Surgery, 22 – 24 March, Makedonia Palace Hotel, Thessaloniki.
Aim: An effective rehabilitation program for elderly hip patients will ensure their earliest reintegration. This contributes to the time spent in the rehabilitation center as well as the age of the patient. Our goal is to study the functional adequacy of these patients, for both of these parameters, using the FIM index.
Material-Method: We refer to 523 consecutive hip surgery patients who were hospitalized at the Euromedica Arogi rehabilitation center in 2017. Patients were devided: a) in patients who were hospitalized for more than 30 days (n = 271 patients, mean age 82 years) (group A) and less than 30 days (252 patients, mean age 79 years) (group B), and b) in patients over 75 years of age (n = 412, median Length of Stay (LoS) 33 days) (group C) and less than 75 years = 111, median LoS 32 days) (group D). ). FIM evaluation was made within the first 3 days of admission and within 3 days before discharge. We did not take into account the type of surgery because FIM does not distinguish the technique followed.
Results: These are shown in the table for all the groups created
|Group||Patients||Mean admission FIM||Mean discharge FIM||Total FIM Change||% Improvement|
|Α – >30 days||271||52,79||84,12||31,33||59,34|
|C – > 75 years||412||55,70||83,91||28,21||50,64|
|D – < 75 years||111||74,34||103,93||29,59||39,80|
Conclusions: It seems that people who have been hospitalized for more than 30 days had a higher rate of improvement in functional adequacy because they were given the time to complete their program. Also, older people showed improvement, but younger people, while having a higher index at admission, achieve greater independence despite the lower rate of improvement.