Purpose: It is important to identify factors associated with the outcome of rehabilitation after hip fracture as an aid to planning the rehabilitation framework and the future discharge of patients. Previous studies have shown that handgrip strength (HGS) is one of the factors associated with the success of rehabilitation.
Materials and Methods: A retrospective study among patients 65 years of age and above who underwent surgical repair of a hip fracture followed by rehabilitation in the Geriatrics ward between September 2019 and December 2021. Successful rehabilitation was determined as Montebello Rehabilitation Factor Score Revised (MRFS-R) ≥ 50%. Associations were assessed between various sociodemographic and clinical variables, including HGS, and rehabilitation success. HGS was tested as a continuous and dichotomous variable, in accordance with various definitions of low muscle strength.
Results: Data were collected for 173 patients. The mean age was 81.2 ± 7.2 years and 68.2% were women. In a logistic regression model only HGS, as a continuous variable, was independently associated with rehabilitation success, with each increase of 1 kg increasing the chance for successful rehabilitation by 6.8%.
Conclusion: HGS is a simple tool for the planning of the rehabilitation process among patients with hip fracture.

Keywords: hip fracture, rehabilitation, handgrip strength, a Montebello Rehabilitation Factor Score Revised, geriatric


中文翻译：

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握力作为 65 岁及以上患者髋部骨折后成功康复的预测指标

目的：重要的是要确定与髋部骨折后康复结果相关的因素，以帮助规划康复框架和患者未来的出院。先前的研究表明，握力（HGS）是与康复成功相关的因素之一。
材料和方法：对 2019 年 9 月至 2021 年 12 月期间在老年病房接受手术修复髋部骨折并随后进行康复的 65 岁及以上患者进行的一项回顾性研究。成功的康复被确定为修正后的蒙特贝罗康复因子评分 (MRFS-R) ≥ 50 %。评估了各种社会人口和临床变量之间的关联，包括 HGS 和康复成功。根据低肌肉力量的各种定义，HGS 被测试为连续和二分变量。
结果：收集了 173 名患者的数据。平均年龄为 81.2 ± 7.2 岁，68.2% 为女性。在逻辑回归模型中，只有 HGS 作为连续变量与康复成功独立相关，每增加 1 公斤，成功康复的机会就会增加 6.8%。
结论： HGS 是一种用于髋部骨折患者康复过程规划的简单工具。

关键词：髋部骨折，康复，握力，修正的蒙特贝罗康复因子评分，老年