Why the study?
Does intensive geriatric rehabilitation reduce length of hospital stay and improve functional recovery in community dwelling hip fracture patients over 64 years of age?
Does intensive geriatric rehabilitation reduce length of hospital stay and improve functional recovery in community dwelling hip fracture patients over 64 years of age?
Intensive geriatric rehabilitation reduces the length of hospital stay and accelerates functional recovery in older hip fracture patients without remarkably increasing direct medical costs.
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Intensive geriatric rehabilitation shortens hospital stay after hip fracture; supports its use to accelerate recovery in older patients.
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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Huusko et al. (2002) studied this question.
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