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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Falls and fractures associated with declining physical function in chronic kidney disease (CKD) are a significant challenge. Rehabilitation is critical in the recovery process following proximal femoral fractures (PFF), especially in older patients. However, limited evidence exists regarding the influence of CKD on rehabilitation outcomes in this population. This study aimed to investigate the effect of CKD on rehabilitation outcomes in patients with proximal femoral fractures, with a specific focus on Functional Independence Measure (FIM) scores, FIM effectiveness, and FIM efficiency.
A retrospective cohort study was conducted involving 1,832 patients with proximal femoral fractures admitted to Seirei Hamamatsu City Rehabilitation Hospital from 2014 to 2023. Patients were categorized into those with and without renal dysfunction, with CKD stage 3b as the threshold. Patient characteristics, laboratory data, and FIM scores at admission and discharge were analyzed. Analysis of covariance (ANCOVA) was performed to compare FIM at admission and discharge, FIM gain, FIM effectiveness, and FIM efficiency between the two groups, adjusting for age, sex, BMI, Charlson Comorbidity Index (CCI), sodium, potassium, calcium, hemoglobin, CRP, and albumin levels.
Among the 1,832 patients, 342 had renal dysfunction and 1,490 did not. The renal dysfunction group had significantly lower FIM scores both at admission (74.9 ± 20.9 vs. 81.6 ± 22.3, p = 0.02) and discharge (89.1 ± 21.5 vs. 96.6 ± 22.8, p < 0.001). While no significant difference was observed in FIM gain (15.3 ± 10.9 vs. 14.7 ± 11.9, p = 0.22), FIM effectiveness was significantly lower in the renal dysfunction group (0.31 ± 0.26 vs. 0.39 ± 0.32, p = 0.01). FIM efficiency showed no significant difference between the groups (0.35 ± 0.29 vs. 0.33 ± 0.42, p = 0.61)
CKD is associated with poorer functional outcomes in patients with proximal femoral fractures, with significantly lower FIM scores at both admission and discharge, and reduced FIM effectiveness after adjustment for confounders. These findings underscore the need for tailored rehabilitation strategies in patients with renal dysfunction.
