Revision of the Clinical Pathway for Treatment of Femoral Neck Fractures Yoshiyasu Kokubo 1 , Takashi Yamazaki 1 , Toru Hoshi 1 , Shigeru Sato 1 , Izumi Ono 2 , Nobuko Tanaka 2 , Yoshinori Tanaka 3 1Department of Orthopaedic Surgery,Musashino Red Cross Hospital Keyword: clinical pathway(クリニカルパス) , femoral neck fracture(大腿骨頚部骨折) , Barthel Index(バーサル・インデックス) pp.779-787
Published Date 2006/7/1
DOI https://doi.org/10.11477/mf.1408100912
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 A clinical pathway for the treatment of femoral neck fracture was developed for determining indications based on clinical outcomes at discharge. The clinical pathway consisted of a combination of two units:one was the unit from hospitalization to Day 2 after surgery,the other that from Day 3 after surgery to discharge. The postoperative unit was prepared based on outcomes at discharge. The Barthel Index(BI),a method for evaluating activities of daily living before patients had their fractures,was used as a criterion for determining indications. Those with a BI score of 85 points or higher were treated with rehabilitation intended for discharging them to their homes,with no restriction on the hospitalization period,while those with a BI score of less than 85 points received treatment intended for transferring them to other hospitals 3 weeks postoperatively.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院