Intensive geriatric rehabilitation of hip fracture patients

Author： Huusko Tiina M Karppi Pertti Avikainen Veikko Kautiainen Hannu Sulkava Raimo

ISSN： 0001-6470

Source： Acta Orthopaedica Scandinavica, Vol.73, Iss.4, 2002-08, pp. : 425-431

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Abstract

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.