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Relationship between Discharge Destination and ADL Improvement in Patients with Femoral Neck Fractures: An Analysis Using DPC Data
https://doi.org/10.15112/0002000325
https://doi.org/10.15112/0002000325c472370f-0d8f-401d-8150-4a3cbdf23f7b
| 名前 / ファイル | ライセンス | アクション |
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PDF (471 KB)
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| Item type | 紀要論文(ELS) / Departmental Bulletin Paper(1) | |||||||||
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| 公開日 | 2025-06-03 | |||||||||
| タイトル | ||||||||||
| タイトル | Relationship between Discharge Destination and ADL Improvement in Patients with Femoral Neck Fractures: An Analysis Using DPC Data | |||||||||
| 言語 | en | |||||||||
| 言語 | ||||||||||
| 言語 | eng | |||||||||
| キーワード | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | activities of daily living (ADL) improvement | |||||||||
| キーワード | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | femoral neck fracture | |||||||||
| キーワード | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | discharge destination | |||||||||
| キーワード | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | diagnosis procedure combination (DPC) data | |||||||||
| キーワード | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | rehabilitation | |||||||||
| 資源タイプ | ||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||
| 資源タイプ | departmental bulletin paper | |||||||||
| ID登録 | ||||||||||
| ID登録 | 10.15112/0002000325 | |||||||||
| ID登録タイプ | JaLC | |||||||||
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| 内容記述タイプ | Other | |||||||||
| 内容記述 | P(論文) | |||||||||
| 著者名(英) |
HONNO, Katsumi
× HONNO, Katsumi
× KASHIMURA, Naho
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| 著者所属(英) | ||||||||||
| en | ||||||||||
| Department of Health Informatics, Faculty of Health and Welfare Service Administration Kawasaki University of Medical Welfare | ||||||||||
| 著者所属(英) | ||||||||||
| en | ||||||||||
| Department of Health Informatics, Faculty of Health and Welfare Service Administration Kawasaki University of Medical Welfare | ||||||||||
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| en | ||||||||||
| In Japan’s super-aged society, where individuals aged 65 and above make up about 30% of the population, the management of conditions like femoral neck fracture in the elderly is critical. This study analyzed DPC data from 21 medical institutions in Okayama Prefecture for the fiscal years 2020-2021 to explore the relationship between discharge ADL (Activities of Daily Living) improvement and discharge destination in patients with femoral neck fracture. The study included 593 patients, with 82.1% showing ADL improvement at discharge. Multivariate logistic regression revealed that ADL improvement significantly increased the odds of discharge to home (OR 10.015, 95% CI: 2.239-44.801, p=0.003), whereas other facilities did not show a significant association (OR 1.657, 95% CI: 0.396-6.931, p=0.489). Factors like age, length of hospital stays, and the number of rehabilitation sessions were significantly associated with discharge destination. Specifically, the odds of home discharge decreased with age (85-94 years: OR 0.268, 95% CI: 0.157-0.460, p<0.001) and increased with the number of rehabilitation sessions (≥32 sessions: OR 31.396, 95% CI: 13.366-73.746, p<0.001). These findings underscore the importance of early and intensive rehabilitation in improving ADL and enhancing the likelihood of home discharge for elderly femoral neck fracture patients. | ||||||||||
| 記事種別(英) | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | Original Paper | |||||||||
| 言語 | en | |||||||||
| bibliographic_information |
en : Kawasaki journal of medical welfare 巻 30, 号 2, p. 87-100, 発行日 2025 |
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| 出版者 | 川崎医療福祉学会 | |||||||||
| 言語 | ja | |||||||||
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| 収録物識別子タイプ | NCID | |||||||||
| 収録物識別子 | AA11108172 | |||||||||
| item_1_source_id_19 | ||||||||||
| 収録物識別子タイプ | PISSN | |||||||||
| 収録物識別子 | 1341-5077 | |||||||||
