Factors predicting return home from inpatient rehabilitation following hip fracture surgery : Facteurs prédictifs du retour au domicile des patients hospitalisés en réadaptation à la suite de la réparation d'une fracture de la hanche : rapport

Physical rehabilitation programs are integral components of post-medical/-surgical care, as the recovery of functional independence is critical to a person’s quality of life and a return to pre-fracture living conditions.3 The majority of seniors wish to remain in their homes and maintain their independence for as long as possible.4 A common goal in inpatient rehabilitation (IR) is for the client [...] Therefore, an understanding of the factors that enhance the ability of individuals to age in place can be an integral part of the post-operative management of hip fractures in Canada. [...] The average client had a Motor Function Score of 45 and a Cognitive Function Score of 30 upon admission to rehabilitation (see the sidebar for a description of Motor and Cognitive Function scores captured in the NRS). [...] The average client had surgical repair within 2 days of the initial acute admission and was admitted to IR 12 days after the date of surgery for hip fracture repair; half of clients were admitted to IR within 8 days of surgery. [...] Assessing Function in the NRS In the NRS, functional status at IR admission and discharge is measured using the FIM® instrument.i The FIM® instrument is a measure of disability and caregiver burden associated with the level of disability; it is composed of 18 items — addressing physical mobility, activities of daily activity and cognition — that are rated on a 7-point scale representing gradations