Literature DB >> 29626386

Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture.

Kiyotaka Hasebe1, Ryo Momosaki2,3, Masashi Sawabe1, Masayuki Chono1, Akira Sawaguchi1, Seiji Kasuga1, Daichi Asanuma1, Shoya Suzuki1, Narimi Miyauchi1, Masahiro Abo3.   

Abstract

AIM: To test the hypothesis that the functional outcome of hip fracture patients who receive weekend rehabilitation is better than that of similar patients who undergo non-weekend rehabilitation.
METHODS: The present retrospective observational study used data from the Japan Rehabilitation Database spanning 2005-2015. We identified in-hospital hip fracture patients admitted to acute hospitals. After applying exclusion criteria, 469 patients were eligible. The primary outcome was motor Functional Independence Measure (FIM) efficiency.
RESULTS: Of the patients with hip fracture, 68.0% received weekend rehabilitation. The patients who received weekend rehabilitation had significantly higher scores in motor FIM efficiency (mean 1.08 vs 0.73, P < 0.001), FIM efficiency (mean 1.12 vs 0.79, P = 0.001) and shorter length of stay (mean 32 vs 54, P < 0.001) than the patients without weekend rehabilitation. Multivariate linear regression analysis identified the weekend rehabilitation as a significant factor in motor FIM efficiency (coefficient 0.237, 95% confidence interval 0.074-0.400, P = 0.004), FIM efficiency (coefficient 0.235, 95% confidence interval 0.079-0.391, P = 0.003) and length of stay (coefficient -9.649, 95% confidence interval -18.194 to -1.104, P = 0.027).
CONCLUSIONS: The present cohort analysis showed that weekend rehabilitation for hip fracture patients can lead to functional recovery and reduce the length of stay. Geriatr Gerontol Int 2018; 18: 1143-1146.
© 2018 Japan Geriatrics Society.

Entities:  

Keywords:  activities of daily living; hip fracture; physical therapy; retrospective study; weekend rehabilitation

Mesh:

Year:  2018        PMID: 29626386     DOI: 10.1111/ggi.13326

Source DB:  PubMed          Journal:  Geriatr Gerontol Int        ISSN: 1447-0594            Impact factor:   2.730


  3 in total

Review 1.  Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus.

Authors:  Antonio De Vincentis; Astrid Ursula Behr; Giuseppe Bellelli; Marco Bravi; Anna Castaldo; Lucia Galluzzo; Giovanni Iolascon; Stefania Maggi; Emilio Martini; Alberto Momoli; Graziano Onder; Marco Paoletta; Luca Pietrogrande; Mauro Roselli; Mauro Ruggeri; Carmelinda Ruggiero; Fabio Santacaterina; Luigi Tritapepe; Amedeo Zurlo; Raffaele Antonelli Incalzi
Journal:  Aging Clin Exp Res       Date:  2021-07-21       Impact factor: 3.636

2.  Does quality of care in hip fracture vary by day of admission?

Authors:  Luke Farrow; Andrew Hall; Lorna Aucott; Graeme Holt; Phyo K Myint
Journal:  Arch Osteoporos       Date:  2020-03-20       Impact factor: 2.617

3.  Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? - A case-historical control study.

Authors:  Dennis Kim Chung Mo; Ken Kin Ming Lau; Donna Mei Yee Fung; Bosco Hon Ming Ma; Titanic Fuk On Lau; Sheung Wai Law
Journal:  Hong Kong Physiother J       Date:  2021-04-16
  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.