Intensive geriatric rehabilitation of hip fracture patients

Tiina M Huusko Departments of Public Health and General Practice, Division of Geriatrics, University of Kuopio, P.O.Box 1627, FI-70211, Kuopio, Finland, Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland, Orthopedic and Trauma Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland and Rheumatism Foundation Hospital, FI-18120 Heinola, Finland. E-mail: tiina.huusko@hus.

Pertti Karppi Departments of Public Health and General Practice, Division of Geriatrics, University of Kuopio, P.O.Box 1627, FI-70211, Kuopio, Finland, Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland, Orthopedic and Trauma Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland and Rheumatism Foundation Hospital, FI-18120 Heinola, Finland. E-mail: tiina.huusko@hus.

Veikko Avikainen Departments of Public Health and General Practice, Division of Geriatrics, University of Kuopio, P.O.Box 1627, FI-70211, Kuopio, Finland, Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland, Orthopedic and Trauma Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland and Rheumatism Foundation Hospital, FI-18120 Heinola, Finland. E-mail: tiina.huusko@hus.

Hannu Kautiainen Departments of Public Health and General Practice, Division of Geriatrics, University of Kuopio, P.O.Box 1627, FI-70211, Kuopio, Finland, Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland, Orthopedic and Trauma Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland and Rheumatism Foundation Hospital, FI-18120 Heinola, Finland. E-mail: tiina.huusko@hus.

Raimo Sulkava Departments of Public Health and General Practice, Division of Geriatrics, University of Kuopio, P.O.Box 1627, FI-70211, Kuopio, Finland, Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland, Orthopedic and Trauma Surgery, Central Hospital of Central Finland, Keskussairaalantie 19, FI-40620, Jyvaskyla, Finland and Rheumatism Foundation Hospital, FI-18120 Heinola, Finland. E-mail: tiina.huusko@hus.

Abstract

We determined the effect of geriatric rehabilitation of hip fracture patients on mortality, length of hospital stay, and functional recovery. In a randomized, controlled intervention study, 243 community dwelling hip fracture patients over 64 years of age were randomly assigned to 2 rehabilitation groups. The intervention group (n = 120) was referred to a geriatric ward for team rehabilitation, and the controls (n = 123) to local hospital wards for standard care. The median length of total hospital stay after a hip fracture operation was 34 (95% CI 28-38) days in the intervention group and 42 (95% CI 35-48) days in the control group (p = 0.05). The intervention group recovered instrumental activities of daily living faster (p = 0.05). Direct costs of medical care during the first year did not differ remarkably.

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Intensive geriatric rehabilitation of hip fracture patients

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