Hong Kong Journal of Occupational Therapy最新文献

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Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study 职业治疗师在后天性脑损伤后为促进支持而使用的工作支持技术:定性研究
IF 0.4 4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2024-01-07 DOI: 10.1177/15691861231225754
Ryoko Kurihara, Toru Nagao, R. Tanemura
{"title":"Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study","authors":"Ryoko Kurihara, Toru Nagao, R. Tanemura","doi":"10.1177/15691861231225754","DOIUrl":"https://doi.org/10.1177/15691861231225754","url":null,"abstract":"Ensuring effective return to work following acquired brain injuries is crucial from the perspectives of both quality of life and the economy. However, techniques of occupational therapy support for return to work remain relatively unelucidated. To clarify the specific contents of occupational therapy required for work and work support for clients with acquired brain injuries. An interview-based survey was conducted with participants who had >10 years of occupational therapy experience and had provided work support. We selected participants via snowball sampling. Data were analyzed using thematic analysis. A total of 20 participants (15 women and 5 men; 6, 12, 1, and 1 in their 30s, 40s, 50s, and 60s, respectively) were included. Six concepts were generated on reviewing the support for work items considered important by the occupational therapist as follows: “Support for vocational life,” “Support for interpersonal skills,” “Support for work,” “Support for illness, disability, and awareness,” “Support for utilization of compensation measures,” and “Support for goal setting.” We clarified the specific contents of work support, including support for vocational life and support for work, that is administered by occupational therapists who provide work support for clients with acquired brain injury. The insights from the study improve understanding of OTs’ roles and contributions in supporting clients with acquired brain injuries in returning to work.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"3 11","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139448869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlocking the potential: Exploring the opportunities for occupational therapists in cyberpsychology 释放潜能:探索职业治疗师在网络心理学方面的机遇
IF 0.4 4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-10 DOI: 10.1177/15691861231222074
H. Jahrami
{"title":"Unlocking the potential: Exploring the opportunities for occupational therapists in cyberpsychology","authors":"H. Jahrami","doi":"10.1177/15691861231222074","DOIUrl":"https://doi.org/10.1177/15691861231222074","url":null,"abstract":"It has long been established that occupational therapists (OTs) play an important role in assisting clients suffering from a variety of physical and mental health conditions. Cyberpsychology is a relatively new field in medicine that pertains to how technology influences people's mental health and behavior. It covers the effects of social media, online gaming, virtual-augmented reality, artificial intelligence, and other forms of technology on individuals. Among the known psychological phenomena arising from individuals’ interactions with digital technologies are cyberbullying and technology addiction. This commentary explores how OTs in the cyberpsychology field can develop personalized interventions to enhance digital well-being and promote healthy technology use.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"182 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138982330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Gamification for Adult Physical Rehabilitation in Occupational Therapy; A Novel Concept? 游戏化在职业治疗成人物理康复中的应用一个新颖的概念?
IF 0.4 4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-01 Epub Date: 2023-05-26 DOI: 10.1177/15691861231179037
Sharon Zlotnik, Patrice L Tamar Weiss, Daphne Ruth Raban, Adina Houldin-Sade
{"title":"Use of Gamification for Adult Physical Rehabilitation in Occupational Therapy; A Novel Concept?","authors":"Sharon Zlotnik, Patrice L Tamar Weiss, Daphne Ruth Raban, Adina Houldin-Sade","doi":"10.1177/15691861231179037","DOIUrl":"10.1177/15691861231179037","url":null,"abstract":"<p><strong>Aim: </strong>This commentary discusses the concept of 'gamification' as referred to implicitly or explicitly in the occupational therapy literature. Although occasionally noted to be a new frontier for occupational therapy, our analysis suggests that game mechanics and gamification elements are, in fact, a 'road long traveled' by occupational therapists and that gamification evokes the core aims and vision of occupational therapy. Gamification has been implicitly incorporated into the occupational therapy literature for years, and its benefit of enhancing therapeutic outcomes is evident in many instances. We contend that a more explicit use of the term gamification within the occupational therapy literature will lead to a framework in which both practitioners and researchers can structure and evaluate therapeutic outcomes.</p>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"1 1","pages":"51-56"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42101740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Usability of a mobile phone application to enhance activities of daily living in occupational therapy services for breast cancer survivors 手机应用程序的可用性,以提高乳腺癌幸存者在职业治疗服务中的日常生活活动
4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-10-27 DOI: 10.1177/15691861231206489
Dulce Romero-Ayuso, Raquel García-López, Carmen Lozano-Villena, José R Martínez, Paula Parga-Amado, Paula García-Ferreiro, José A Gallud, María Lozano, José-Matías Triviño-Juárez
{"title":"Usability of a mobile phone application to enhance activities of daily living in occupational therapy services for breast cancer survivors","authors":"Dulce Romero-Ayuso, Raquel García-López, Carmen Lozano-Villena, José R Martínez, Paula Parga-Amado, Paula García-Ferreiro, José A Gallud, María Lozano, José-Matías Triviño-Juárez","doi":"10.1177/15691861231206489","DOIUrl":"https://doi.org/10.1177/15691861231206489","url":null,"abstract":"Background/Objective: The use of new technologies in rehabilitation to evaluate and improve occupational performance and quality of life is increasing. Technological applications in the health field could help meet the needs of patients, including those of women breast cancer survivors. The main aim of this study was to design a mobile phone application “MAIA” focused on the perceived needs of women who have had breast cancer to achieve optimal performance in their daily lives in a meaningful way. Methods: A cross-sectional usability study using an online questionnaire was designed. Sociodemographic and occupational performance data were collected. System Usability Scale, Engagement in Meaningful Activities Survey, Occupational Balance Questionnaire, General Self-Efficacy Scale, Functional Assessment of Cancer Therapy - General and Disabilities of the Arm, Shoulder and Hand were administered. Descriptive statistics were used to describe categorical (frequencies and percentages) and quantitative variables (mean and standard deviation). Results: The sample was composed of seventy-eight women diagnosed with breast cancer. Nine activities of daily living were affected in more than 20% of women with breast cancer. The most affected were sleep and rest and functional mobility. Conclusions: Women survivors of breast cancer showed difficulties in daily life performance and participation. The MAIA App could be useful as a new online resource in occupational therapy for the rehabilitation of breast cancer survivors.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"123 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136316788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders 一项关于精神分裂症谱系障碍患者精简疾病管理和康复计划有效性的随机对照试验
4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-10-04 DOI: 10.1177/15691861231204904
Raymond Hung Kei Wong, Raymond Wing Cheong Au, Chan Wai Lan, Chiu Pi Fan, Frank Pi Fan Chiu, Mann Man Keung Chu, Thomas Chung Lung Kong, Ada Wai Yu Lo, Donald Chi Shing Mak, Justina KP Wong, Sharifa YP Yam
{"title":"A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders","authors":"Raymond Hung Kei Wong, Raymond Wing Cheong Au, Chan Wai Lan, Chiu Pi Fan, Frank Pi Fan Chiu, Mann Man Keung Chu, Thomas Chung Lung Kong, Ada Wai Yu Lo, Donald Chi Shing Mak, Justina KP Wong, Sharifa YP Yam","doi":"10.1177/15691861231204904","DOIUrl":"https://doi.org/10.1177/15691861231204904","url":null,"abstract":"Objective This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. Methods This study was implemented in 10 occupational therapy departments, psychiatric day hospitals of 7 Hospital Authority clusters in Hong Kong. A total of 211 patients with schizophrenia or schizoaffective disorder was recruited and randomized into either the experimental or the control condition. In the control group, the subjects went through conventional occupational therapy programmes. In the experimental group, the subjects went through an additional 10-session programme of AIMR. Participants were measured at baseline, completion of the AIMR, and 3-month after the AIMR programme. Measures include the expanded version of the Brief Psychiatric Rating Scale (BPRS-E), the client version of the Illness Management and Recovery Scale (IMRS), the Snyder Hope Scale, the Social and Occupational and Occupational Functioning Assessment Scale (SOFAS), the WHO Quality of Life Scale (WHOQOL-BREF), and the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS). Results Both the experimental and control cohorts had comparable clinical and socio-demographic characteristics except years of education and duration of illness. These two variables were entered as covariates in the linear mixed model which showed that the experimental group had significantly higher improvement than the control group in terms of illness management (F = 4.82; p = .03; Cohen’s d = .45), functional (F = 10.65; p = .001; Cohen’s d = .58), and hope (F = 5.52; p = .02; Cohen’s d = .08) measures after the completion of treatment. Conclusion The results supported the effectiveness of the AIMR programm which would be important in the recovery oriented practices in psychiatry.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135549226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of the COVID-19 pandemic on children’s occupations COVID-19大流行对儿童职业的影响
4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-10-04 DOI: 10.1177/15691861231204905
Maria Blanta, Anetta Karathanasi, Ioanna Tzonichaki
{"title":"The impact of the COVID-19 pandemic on children’s occupations","authors":"Maria Blanta, Anetta Karathanasi, Ioanna Tzonichaki","doi":"10.1177/15691861231204905","DOIUrl":"https://doi.org/10.1177/15691861231204905","url":null,"abstract":"Background The COVID-19 pandemic changed the daily lives and limited everyday activities of children worldwide. Objectives To document the impact of the COVID-19 pandemic on children’s occupations, the associated factors, and the impact on children’s health, wellbeing, and development. Methods A narrative review was conducted by searching four databases (Scopus, MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews). Results A total of 35 articles met the inclusion criteria. Out of the 34 articles, 23 were relevant to the impact of the COVID-19 pandemic on occupations related to leisure ( n = 17), productivity ( n = 11), and self-care ( n = 9). Ten articles highlighted specific factors that had been linked to changes in occupational engagement and child behavior. Ten articles focused on the impact of occupational disruption during COVID-19 on health, wellbeing, and general development. Conclusion The COVID-19 pandemic seems to have had a negative impact on children’s occupations, while the restrictions were still in effect. Further research is needed to establish reliable conclusions.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135592230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensory modulation interventions for adults with mental illness: A scoping review 成人精神疾病的感觉调节干预:范围综述
4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-10-03 DOI: 10.1177/15691861231204896
Nayantara R Kandlur, Ashmica Claire Fernandes, Suzanna Rupal Gerard, Shruthi Rajiv, Shalini Quadros
{"title":"Sensory modulation interventions for adults with mental illness: A scoping review","authors":"Nayantara R Kandlur, Ashmica Claire Fernandes, Suzanna Rupal Gerard, Shruthi Rajiv, Shalini Quadros","doi":"10.1177/15691861231204896","DOIUrl":"https://doi.org/10.1177/15691861231204896","url":null,"abstract":"Introduction Sensory Modulation Interventions (SMI) assist people with mental illnesses to regulate emotional and physiological arousal. We aimed to conduct a scoping review to identify the study designs, geographical distribution, modality/regimen, barriers and facilitators in using SMI for individuals with mental illnesses. Methods A systematic search was conducted using Arksey and O'Malley’s framework with studies published on SMI from January 2010 to November 2020. Results 17 articles were found to be relevant. One was a case-control study, qualitative ( N = 3), mixed-method ( N = 3), and case studies ( N = 3), and the rest were pilot interventional studies ( N = 8). The duration of sessions ranged from 2 to 30 minutes for 2 days to 3 years. The facilitators in using SMI were of being cost-effective and easily adaptable. Barriers were in terms of maintenance of sensory items. Sensory modulation based items related to proprioception, vestibular and tactile were the frequently used in the SMI based interventions used in the included studies. Conclusions SMI as an occupational therapy intervention for individuals with mental illnesses is evolving and more robust studies in the future are recommended.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135740535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The standardised malay version of purdue pegboard test: Content validity and test-retest reliability testing 马来语标准版普渡钉板测验:内容效度与重测信度检验
4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2023-05-30 DOI: 10.1177/15691861231179012
Yin Sin Poo, Siaw Chui Chai, Poh Im Goh, Masne Kadar, Nor Afifi Razaob@Razab
{"title":"The standardised malay version of purdue pegboard test: Content validity and test-retest reliability testing","authors":"Yin Sin Poo, Siaw Chui Chai, Poh Im Goh, Masne Kadar, Nor Afifi Razaob@Razab","doi":"10.1177/15691861231179012","DOIUrl":"https://doi.org/10.1177/15691861231179012","url":null,"abstract":"Introduction Purdue Pegboard Test (PPT) is a valid and reliable instrument for measuring hand dexterity among individuals with or without medical conditions. In the Southeast Asia region where Malay is widely spoken, there is a need to have a Malay translation of Purdue Pegboard Test. This study aimed to translate the PPT into the Malay version (PPT-M) and to determine the content validity and test-retest reliability of this translated version. Methods This study involved: (1) four English teachers (translators) for forward and backward translation procedures; (2) 10 experts in the field of occupational therapy (expert reviewers) for content validity testing; and (3) 60 undergraduate students (participants) for test-retest reliability testing. Results PPT-M had excellent content validity with Item-Content Validity Index = 0.9–1.0, Scale-Content Validity Index/Average = 0.93–0.95, and a slightly lower Scale-Content Validity Index/Universal Agreement = 0.25–0.75. Test-retest reliability for 3-trial administration ( n = 30; Intraclass Correlation Coefficients, ICCs = 0.76–0.85; good) was higher compared to 1-trial administration ( n = 30; ICCs = 0.34–0.46; poor) for all subtests. Both trial administrations were mostly affected by systematic errors, especially practice effect as the retests gave higher scores. Random errors mostly affected Subtest 3 of 1-trial administration, evident by its Minimal Detectable Change Percent values = 30.84% that fell beyond the acceptable range. Conclusion PPT-M has the potential to be a valuable instrument for measuring hand dexterity among Malay speaking individuals especially when the 3-trial administration is used.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effects of an oral-pharyngeal motor training programme on children with obstructive sleep apnea syndrome in Hong Kong: A retrospective pilot study 口咽运动训练计划对香港儿童阻塞性睡眠呼吸暂停综合症的影响:一项回顾性试点研究
IF 0.4 4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2017-12-01 DOI: 10.1016/j.hkjot.2017.09.001
S.Y. Cheng, S.H.W. Kwong, W.M. Pang, L.Y. Wan
{"title":"Effects of an oral-pharyngeal motor training programme on children with obstructive sleep apnea syndrome in Hong Kong: A retrospective pilot study","authors":"S.Y. Cheng,&nbsp;S.H.W. Kwong,&nbsp;W.M. Pang,&nbsp;L.Y. Wan","doi":"10.1016/j.hkjot.2017.09.001","DOIUrl":"10.1016/j.hkjot.2017.09.001","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to investigate the effects of an oropharyngeal motor training programme on children with Obstructive Sleep Apnea Syndrome (OSAS) in Hong Kong.</p></div><div><h3>Methods</h3><p>In this retrospective study, we reviewed the outcomes of 10 children with OSAS who had received an oropharyngeal motor training programme in Occupational Therapy Department of an acute hospital in Hong Kong over a 1-year programme. Each participant attended an individual oropharyngeal motor training programme plus a follow-up session after 2 months. The training programme consisted of 10 individual mobilization exercises involving the orofacial and pharyngeal area for 45 minutes. Each exercise had to be repeated for 10 times. Three outcome measures were chosen to study the effectiveness of the training programme including tongue strength, tongue endurance level and orofacial function. Tongue strength and tongue endurance level were assessed using the Iowa Oral Pressure Instrument (IOPI). The Nordic Orofacial Test-Screening (NOT-S) Assessment was used to assess the orofacial function. Seven out of 10 participants completed the training programme and attended the follow-up session after two months.</p></div><div><h3>Results</h3><p>The tongue strength and the scores of NOT-S of the 7 participants were found to have significant improvement after training. However, there was no significant difference in tongue endurance level.</p></div><div><h3>Conclusion</h3><p>The findings of this study support the role of occupational therapist in oromotor training modalities to improve the respiratory function for children with OSAS in Hong Kong.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"30 ","pages":"Pages 1-5"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2017.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36466435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Factors affecting mortality and hospital admissions after hip surgery among elderly patients with hip fracture in Hong Kong – Review of a three-year follow-up 影响香港老年髋部骨折患者髋部手术后死亡率和住院率的因素-对三年随访的回顾
IF 0.4 4区 医学
Hong Kong Journal of Occupational Therapy Pub Date : 2017-12-01 DOI: 10.1016/j.hkjot.2017.10.004
Apple Qiao-Ling Wang , Bobby Hin-Po Ng , Lydia Po-Chee Cheung , Raymond Ping-Hong Chin
{"title":"Factors affecting mortality and hospital admissions after hip surgery among elderly patients with hip fracture in Hong Kong – Review of a three-year follow-up","authors":"Apple Qiao-Ling Wang ,&nbsp;Bobby Hin-Po Ng ,&nbsp;Lydia Po-Chee Cheung ,&nbsp;Raymond Ping-Hong Chin","doi":"10.1016/j.hkjot.2017.10.004","DOIUrl":"10.1016/j.hkjot.2017.10.004","url":null,"abstract":"<div><h3>Objective</h3><p>Hip fracture is associated with excess mortalities and high rate of hospital re-admission after discharge from the indexed episode. To improve related post-discharge care, we aimed to find out characteristics that were associated with related higher rates of mortality and hospital re-admission.</p></div><div><h3>Methods</h3><p>This was a historical cohort study with following up of 273 patients recruited in a local rehabilitation hospital for 3 years. The outcome of interest was cumulative mortalities and hospital re-admissions in the 1st 3 years after their discharge from the rehabilitation hospital. These outcomes were collected in the hospital data warehouse – the Clinical Data Analysis and Reporting System (CDARS). Eighteen predictors, as proposed by similar studies and our own review, were retrieved from our standard clinical forms as well as from the CDARS. Binary logistic regression was used to test their association with the outcomes and to generate the respective odd ratios.</p></div><div><h3>Results</h3><p>The cumulative overall mortality rates at 0.5-, 1-, 2- and 3- year after hip fracture were 7.2%, 14.0%, 24.6% and 33.4% respectively, while the cumulative “1st ever hospital readmission” at 0.5-, 1, 2- and 3- years after hip fracture were 29.4%, 41.6%, 59.4% and 71.7% respectively. The most significant predictors i) for mortality at 3- year were: “Being male” (OR 5.33), “Delayed surgery &gt;48 hours” (OR 2.65), “pre-operation albumin level &lt;3.5 g/dl” (OR 2.66), and, ii) for “1st ever hospital readmission” at 0.5-year was “Being Assisted walker or non-walker (after rehabilitation)” (OR 3.83).</p></div><div><h3>Conclusions</h3><p>Characteristics that define the groups of patients with hip fractures with higher mortality and rate of hospital re-admission were identified. This could help healthcare professionals to focus on target patient groups for closer monitoring and more intensive post-discharge care.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":"30 ","pages":"Pages 6-13"},"PeriodicalIF":0.4,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2017.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36466436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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