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Effects of Geriatric Interdisciplinary Home Rehabilitation on Walking Ability and Length of Hospital Stay After Hip Fracture: A Randomized Controlled Trial
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.
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2016 (English)In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, Vol. 17, no 5, 464.e9-464.e15 p.Article in journal (Refereed) Published
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Text
Abstract [en]

Objective: To evaluate if Geriatric Interdisciplinary Home Rehabilitation could improve walking ability for older people with hip fracture compared with conventional geriatric care and rehabilitation. A secondary aim was to investigate the postoperative length of hospital stay (LOS).

Design: Randomized controlled trial.

Setting: Geriatric ward, ordinary housing, and residential care facilities.

Participants: People operated on for a hip fracture (n = 205), aged 70 or older, including those with cognitive impairment, and living in the north of Sweden.

Intervention: Home rehabilitation with the aim of early hospital discharge that was individually designed and carried out by an interdisciplinary team for a maximum of 10 weeks. Special priority was given to prevention of falls, independence in daily activities, and walking ability both indoors and outdoors.

Measurements: Walking ability and the use of walking device was assessed in an interview during the hospital stay. These assessments were repeated along with gait speed measurements at 3- and 12-month follow-up. The length of the hospital stay after the hip fracture was recorded.

Results: No significant differences were observed in walking ability, use of walking device, and gait speed at the 3- and 12-month follow-up between the groups. At 12 months, 56.3% of the intervention group and 57.7% of the control group had regained or improved their prefracture walking ability. The median postoperative LOS in the geriatric ward was 6 days shorter for the intervention group (P = .003).

Conclusion: Participants receiving Geriatric Interdisciplinary Home Rehabilitation regained walking ability in the short-and long-term similar to those receiving conventional geriatric care and rehabilitation according to a multifactorial rehabilitation program. The intervention group had a significantly shorter postoperative LOS in the hospital.

Place, publisher, year, edition, pages
2016. Vol. 17, no 5, 464.e9-464.e15 p.
Keyword [en]
Hip fracture, home rehabilitation, interdisciplinary rehabilitation, walking ability, geriatrics, length of stay
National Category
Geriatrics Physiotherapy Nursing
Identifiers
URN: urn:nbn:se:umu:diva-121563DOI: 10.1016/j.jamda.2016.02.001ISI: 000375217300026PubMedID: 26975205OAI: oai:DiVA.org:umu-121563DiVA: diva2:945073
Available from: 2016-06-30 Created: 2016-06-03 Last updated: 2017-11-23Bibliographically approved
In thesis
1. Consequences of a hip fracture among old people
Open this publication in new window or tab >>Consequences of a hip fracture among old people
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2017. 99 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1923
Keyword
Hip fracture, geriatric care, home rehabilitation, interdisciplinary rehabilitation, randomized control trial, accidental falls, complications, cause of death, walking ability, length of stay
National Category
Geriatrics
Identifiers
urn:nbn:se:umu:diva-142128 (URN)978-91-7601-786-9 (ISBN)
Public defence
2017-12-15, Vårdvetarhusets aula, Umeå, 09:00 (Swedish)
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Supervisors
Available from: 2017-11-24 Created: 2017-11-22 Last updated: 2017-11-24Bibliographically approved

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Karlsson, ÅsaBerggren, MonicaGustafson, YngveOlofsson, BirgittaLindelöf, NinaStenvall, Michael
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