Key result
Patient empowerment with an individually designed postoperative rehabilitation program reduced mean length of hospital stay by 4 days (p=0.04) and increased return to previous living (90% vs 80%).
Why the study?
Does an individually designed postoperative rehabilitation programme with patient empowerment reduce length of hospital stay and improve return to previous living in hip fracture patients?
Cohort (n=503)
Does an individually designed postoperative rehabilitation programme with patient empowerment reduce length of hospital stay and improve return to previous living in hip fracture patients?
Absolute Event Rate: 90% vs 80%
p-value: p=< 0.05
An individually designed rehabilitation program focusing on patient empowerment significantly reduces length of hospital stay and increases the likelihood of returning to previous living conditions in hip fracture patients.
May support empowerment programs in hip fracture rehab; leaves open confirmation in randomized trials.
BACKGROUND/AIM: New surgical procedures, early operation and medical optimisation in patients with hip fracture have shown positive results on length of hospital stay. Our aims were to investigate whether patient empowerment along with an individually designed, postoperative rehabilitation programme could reduce length of hospital stay and whether the patients would have better chances to return to their previous living. DESIGN/METHOD: Patients were recruited during a 12-month period 2009-2010, with an intervention group treated with an individually designed, postoperative rehabilitation programme and a control group treated in a traditional way according to the hospitals routines. Final assessment was performed 4 month after surgery. The postoperative programme for the intervention group consisted of four standardised care tracks adapted individually for the patients. Assessments of Activity of Daily Living, American Society of Anesthesiologists classification of medical disease status and Short Portable Mental Status Questionnaire and living conditions were used to determine which care track was most appropriate. The patients were cared for with focus of empowerment in their rehabilitation. RESULTS: The study involved 503 hip fracture patients, 285 patients in the intervention group and 218 patients in the control group. The mean length of stay was 4 days shorter in the intervention group than in the control group (p = 0.04). Varied only to a small extent between the age groups in the intervention group and was greater between the age groups in the control. Patients in the intervention group returned to their previous living in 90% compared with 80% in the control group (p < 0.05). There were no significant differences between the age groups. CONCLUSION: Patient empowerment administrated by specially trained nursing staff and with specialised, tailor-made rehabilitation programme may be of benefit in helping patients to a shorter hospital stay and to return to their previous living.
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Löfgren et al. (2014) conducted a cohort in hip fracture (n=503). Patient empowerment and individually designed postoperative rehabilitation program vs. Traditional hospital routines was evaluated on Return to previous living (p=< 0.05). Patient empowerment with an individually designed postoperative rehabilitation program reduced mean length of hospital stay by 4 days (p=0.04) and increased return to previous living (90% vs 80%).
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