Key result
Physical activity increased in older adult inpatients with postoperative hip fractures during personalized rehabilitation time (P<0.001) and free activity in the ward (P<0.001).
Why the study?
Does comprehensive care including rehabilitation improve physical activity in older adult inpatients with postoperative hip fractures?
Cohort
No
Does comprehensive care including rehabilitation improve physical activity in older adult inpatients with postoperative hip fractures?
p-value: p=<0.001
Comprehensive care including rehabilitation improves physical activity in older adult inpatients with postoperative hip fractures during both rehabilitation and free time.
May support personalized rehab programs in hip fracture inpatients; hypothesis-generating for functional outcomes in randomized trials.
As the older adult population increases, the number of patients with hip fractures is expected to increase. Hip fractures are a major factor in bedridden patients and decreased activities of daily living. Older adults may have multiple comorbidities, and improving their physical function under comprehensive care is better to meet their needs. Convalescent rehabilitation wards provide comprehensive care and aim to improve the activities of daily living and physical activity in older adults. This study aimed to identify the time of day, including rehabilitation, when physical activities improve in inpatients with subacute postoperative hip fracture, among the many comorbidities of older adults, in comprehensive care, including rehabilitation. This prospective cohort study was conducted in a comprehensive care setting in a subacute rehabilitation ward in a Japanese hospital. Older adult inpatients with a musculoskeletal disease in a subacute rehabilitation ward were divided into the postoperative hip fracture and non-hip fracture patients to examine age, frailty, activities of daily living, and longitudinal physical activity data from objective measures at admission and discharge. Physical activity increased in older adult inpatients with postoperative hip fractures not only during personalized rehabilitation time ( P < 0.001) but also during free activity in the ward ( P < 0.001), despite their tendency to be older, frailer, and lower activities of daily living. In conclusion, postoperative hip fracture inpatients may improve their fitness after receiving comprehensive care.
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Shimizu et al. (2023) conducted a cohort in Postoperative hip fracture. Postoperative hip fracture vs. Non-hip fracture was evaluated on Physical activity during personalized rehabilitation time and during free activity in the ward (p=<0.001). Physical activity increased in older adult inpatients with postoperative hip fractures during personalized rehabilitation time (P<0.001) and free activity in the ward (P<0.001).
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