Why the study?
Hip fractures may increase mortality and decrease mobility in elderly patients, but the effectiveness of comprehensive geriatric care has not been verified.
Does comprehensive geriatric care improve mortality and daily living activities in elderly patients following hip fracture surgery?
Does comprehensive geriatric care improve mortality and daily living activities in elderly patients following hip fracture surgery?
Comprehensive geriatric care reduces mortality and improves activities of daily living in elderly patients recovering from hip fracture surgery.
Supports implementing comprehensive geriatric care after hip-fracture surgery; confirms and synthesizes existing RCT evidence.
Hip fractures may increase mortality and decrease mobility in elderly patients. Effectiveness of comprehensive geriatric care (CGC) has not been verified. A systematic review and a meta-analysis were conducted by searching full-text databases (1988–2018) of Cochrane Library, Clinical Key, Embase, MEDLINE, CINAHL, and ProQuest for randomized controlled trials (RCTs) of CGC following hip fractures. Outcome measures were mortality, activities of daily living, hospital stay, and discharge to institutional setting. Cochrane RoB 2.0, Jadad Quality Score, and Group Reading Assessment were used for analysis. Of the 11 studies included, 8 examined mortality (effect size Z = 2.51, p = 0.01), 5 examined daily activities (effect size Z = 3.31, p = 0.0009), 7 examined length of hospital stay (effect size Z = 0.18, p = 0.85), and 5 examined discharged to an institutional setting (effect size Z = 0.81, p = 0.42). Results showed that CGC decreased mortality and improved daily living activities.
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Su et al. (2019) studied this question.
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