Abstract
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.
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 language | English |
|---|---|
| Pages (from-to) | 947 |
| Number of pages | 1 |
| Journal | Innovation in Aging |
| Volume | 1 |
| Issue number | Suppl. 1 |
| DOIs | |
| Publication status | Published - Jul 2017 |
| Event | conference; 2017-10-19 - Duration: 19 Oct 2017 → … |
Keywords
- Hip replacement
- Aged care
- geriatric rehabilitation programs
- mobility
- Randomised controlled trial
