Why the study?
Does inpatient rehabilitation improve functional restoration in elderly patients with major lower-extremity joint replacements, hip fractures, and amputations?
Does inpatient rehabilitation improve functional restoration in elderly patients with major lower-extremity joint replacements, hip fractures, and amputations?
This review highlights the need for more research on the efficacy of inpatient rehabilitation for elderly patients with lower-extremity joint replacements, hip fractures, and amputations, particularly in the context of cost-containment pressures like Medicare's 75% rule.
Evidence too limited to guide inpatient rehab use in elderly orthopedic patients; leaves open impact of Medicare cost-containment rules on outcomes.
This work examines the current state of knowledge regarding the efficacy of rehabilitation for patients with major lower-extremity joint replacements, hip fractures, and amputations. Of particular focus is the use of inpatient rehabilitation strategies for functional restoration. These areas of rehabilitation involve common conditions in the elderly population. Cost-containment pressures have highlighted the focus on the efficacy of inpatient rehabilitation for persons with joint replacements in particular. Medicare's "75% rule" specifically limits persons with elective joint replacements from entering rehabilitation units after their surgeries. This article highlights research relevant to these issues and was written to examine the state of knowledge about these topics with the goal of highlighting areas that need more research attention.
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Timothy R. Dillingham (2007) studied this question.
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