1. Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial.
- Author
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Berggren, Monica, Karlsson, Åsa, Lindelöf, Nina, Englund, Undis, Olofsson, Birgitta, Nordström, Peter, Gustafson, Yngve, and Stenvall, Michael
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ANTIDEPRESSANTS , *ANALGESICS , *ANTIPARKINSONIAN agents , *ELDER care , *CHI-squared test , *CONFIDENCE intervals , *STATISTICAL correlation , *ACCIDENTAL falls , *FISHER exact test , *BONE fractures , *HEALTH care teams , *HEALTH facilities , *HEART failure , *HIP joint injuries , *HOME care services , *HOSPITAL care , *LENGTH of stay in hospitals , *HOUSING , *INTERVIEWING , *LONGITUDINAL method , *MEDICAL appointments , *MYOCARDIAL infarction , *HEALTH outcome assessment , *QUESTIONNAIRES , *REHABILITATION , *RESEARCH funding , *RESPIRATORY infections , *STATISTICAL hypothesis testing , *STATISTICS , *T-test (Statistics) , *URINARY tract infections , *WOUND infections , *LOGISTIC regression analysis , *DEPARTMENTS , *DATA analysis , *SECONDARY analysis , *RESIDENTIAL care , *DISCHARGE planning , *MEDICAL records , *GERIATRIC rehabilitation , *PATIENT readmissions , *DATA analysis software , *STATISTICAL models , *DESCRIPTIVE statistics , *ODDS ratio , *MANN Whitney U Test , *OLD age , *THERAPEUTICS - Abstract
Objective: This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation. Design: Randomized controlled trial. Setting: Geriatric department, participants' residential care facilities, and ordinary housing. Subjects: Individuals aged ⩾70 years with acute hip fracture (n = 205) were included. Intervention: Geriatric interdisciplinary home rehabilitation was individually designed and aimed at early discharge with the intention to prevent, detect, and treat complications after discharge. Main measures: Complications, readmissions, and days spent in hospital were registered from patients' digital records and interviews conducted during hospitalization and at 3- and 12-month follow-up visits. Results: No significant difference in outcomes was observed. Between discharge and the 12-month follow-up, among participants in the geriatric interdisciplinary home rehabilitation group (n = 106) and control group (n = 93), 57 (53.8%) and 44 (47.3%) had complications (P = 0.443), 46 (43.4%) and 38 (40.9%) fell (P = 0.828), and 38 (35.8%) and 27 (29.0%) were readmitted to hospital (P = 0.383); the median total days spent in hospital were 11.5 and 11.0 (P = 0.353), respectively. Conclusion: Geriatric interdisciplinary home rehabilitation for older individuals following hip fracture resulted in similar proportions of complications, readmissions, and total days spent in hospital after discharge compared with conventional geriatric care and rehabilitation. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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