July 24, 2009Age and Ageing

Survival and functional outcome in patients 90 years of age or older after hip fracture

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Why the study?

Does intensive rehabilitation treatment improve functional recovery and survival in patients aged 90 years or older with hip fractures?

Population

42 patients aged 90 years or older with hip fractures admitted to an intensive rehabilitation setting…

Design

Cohort

Follow-up

26.3 ± 8.8 months

Authors

DIDomenico IntisoCasa Sollievo della Sofferenza FRFilomena Di RienzoCasa Sollievo della Sofferenza GGGiuseppina Grimaldi

Discussion

Member takes

Implication

May support intensive rehab in selected nonagenarians with hip fracture; leaves open need for RCTs to confirm benefit.

Structured PICO

Does intensive rehabilitation treatment improve functional recovery and survival in patients aged 90 years or older with hip fractures?

Population

42 patients aged 90 years or older with hip fractures admitted to an intensive rehabilitation setting (mean age 92.6, 38 females). Excluded: previous hip fracture, pathological or multiple fractures, dementia, or terminal disease with life expectancy <3-6 months.

Intervention

Intensive rehabilitation treatment (almost 2 hours a day, 6 days/week) with an interdisciplinary approach including geriatric medical care review and orthopedic and neurological consultation.

Outcome

Functional recovery (Barthel scale), recovery of gait, and survival rate at discharge and follow-up (mean 26.3 months).patient reported

Intensive rehabilitation in nonagenarians with hip fractures is associated with high rates of functional recovery and survival, challenging the assumption that such patients inevitably require skilled nursing facility placement.

Limitations

small number of patients
lack of a control group
non-randomised design
exclusion of demented and/or pre-injury-dependent patients

Cite This Study

Intiso et al. (2009) studied this question.

synapsesocial.com/papers/6a87993dd32988a0cfca7f38 https://doi.org/10.1093/ageing/afp126

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Survival and functional outcome in patients 90 years of age or older after hip fracture

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Survival and functional outcome in patients 90 years of age or older after hip fracture

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider