Hip fracture rehabilitation for people living in nursing homes: Results of a RCT

M. Crotty, M. Killington, E. Liu, I. Cameron, S. Kurrle, B. Kaambwa, J. Ratcliffe, M Chehade

Research output: Contribution to journalMeeting Abstractpeer-review


Background: It is unclear whether people living in nursing homes benefit from post acute rehabilitation and few trials are done with this group who often suffer dementia. In a group of nursing home residents who were managing to walk (independently, with aids or with assistance) prior to fracture, our aim was to determine whether post-operative rehabilitation (which included a comprehensive geriatric assessment and interdisciplinary rehabilitation program) delivered in nursing homes would improve mobility compared to receiving usual nursing home care.

Methods/Design: Post operatively people admitted from nursing homes with hip fractures were randomly allocated to receive a 4 week geriatric rehabilitation program (minimum 3 visits per week) or usual care. The primary outcome was mobility. Outcomes were measured at 4 and 12 months.

Results: 240 patients were randomly allocated to treatment (n=121) and control (n=119) groups. All measurements were balanced by the randomization at baseline. The average age was 88.6 years (SD 5.6, Range 70–101) with 10% (24) of participants aged over 95 years. At 4 weeks those in the treatment group walked better than those in the control group (mean difference 1.9, 95% CI: 0.6–3.3, p=0.0055). At 12 months outcomes did not differ between treatment and control groups.

Discussion: Even in frail older people post operative comprehensive geriatric assessment and a 4 week program of multidisiciplinary rehabilitation can be tolerated and will produce benefits.
Original languageEnglish
Pages (from-to)947
Number of pages1
JournalInnovation in Aging
Issue numberSuppl. 1
Publication statusPublished - Jul 2017
Eventconference; 2017-10-19 -
Duration: 19 Oct 2017 → …


  • Hip replacement
  • Aged care
  • geriatric rehabilitation programs
  • mobility
  • Randomised controlled trial


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