ISSN 0303-5212
 
2026, Vol: 51, Issue: 2
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Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living

Hyun-woo Jang, Bong-sik Woo, Jung-ho Lee.


Abstract
Objective: To identify functional changes associated with home discharge among patients admitted to a convalescent rehabilitation hospital after hip fracture surgery.
Methodology: This retrospective cohort study included 225 postoperative hip fracture patients admitted for convalescent rehabilitation. Balance, ambulation, cognition, and activities of daily living were assessed at admission and before discharge using the BBS, FAC, MMSE, and MBI. Change scores were compared between the home-discharge and non-home-discharge groups. Change-based logistic regression analyses were performed to examine factors independently associated with home discharge. An additional item-level analysis evaluated associations between changes in individual MBI items and home discharge.
Results: The home-discharge group showed greater improvements in BBS, FAC, and total MBI than the non-home-discharge group. In the change-based multivariable model, improvements in FAC and total MBI remained independently associated with home discharge. At the item level, improvements in toilet use, bladder control, and mobility/ambulation items were significantly associated with home discharge.
Conclusion: Home discharge after hip fracture surgery was primarily associated with concurrent gains in ambulation and ADL independence. Early discharge planning using structured assessment and goal-oriented interventions targeting mobility and continence-related ADL tasks may facilitate safe and sustainable home discharge.

Key words: Hip fracture, functional change, convalescent, rehabilitation.


 
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How to Cite this Article
Pubmed Style

Jang H, Woo B, Lee J. Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. RMJ. 2026; 51(2): 523-527. doi:10.5455/rmj.20260212031117

Web Style

Jang H, Woo B, Lee J. Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. https://www.rmj.org.pk/?mno=310211 [Access: May 26, 2026]. doi:10.5455/rmj.20260212031117

AMA (American Medical Association) Style

Jang H, Woo B, Lee J. Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. RMJ. 2026; 51(2): 523-527. doi:10.5455/rmj.20260212031117


Vancouver/ICMJE Style

Jang H, Woo B, Lee J. Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. RMJ. (2026), [cited May 26, 2026]; 51(2): 523-527. doi:10.5455/rmj.20260212031117


Harvard Style

Jang, H., Woo, . B. & Lee, . J. (2026) Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. RMJ, 51 (2), 523-527. doi:10.5455/rmj.20260212031117


Turabian Style

Jang, Hyun-woo, Bong-sik Woo, and Jung-ho Lee. 2026. Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. Rawal Medical Journal, 51 (2), 523-527. doi:10.5455/rmj.20260212031117


Chicago Style

Jang, Hyun-woo, Bong-sik Woo, and Jung-ho Lee. "Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living." Rawal Medical Journal 51 (2026), 523-527. doi:10.5455/rmj.20260212031117


MLA (The Modern Language Association) Style

Jang, Hyun-woo, Bong-sik Woo, and Jung-ho Lee. "Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living." Rawal Medical Journal 51.2 (2026), 523-527. Print. doi:10.5455/rmj.20260212031117


APA (American Psychological Association) Style

Jang, H., Woo, . B. & Lee, . J. (2026) Healthcare data-based analysis of factors associated with home discharge after hip fracture surgery in a convalescent rehabilitation hospital: Focusing on functional changes and activities of daily living. Rawal Medical Journal, 51 (2), 523-527. doi:10.5455/rmj.20260212031117


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