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. 2008 Jan;63(1):92-7.
doi: 10.1093/gerona/63.1.92.

Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year

Yea-Ing L Shyu  1 , Jersey Liang, Chi-Chuan Wu, Juin-Yih Su, Huey-Shinn Cheng, Shih-Wei Chou, Min-Chi Chen, Ching-Tzu Yang
Affiliations

Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year

Yea-Ing L Shyu et al. J Gerontol A Biol Sci Med Sci. 2008 Jan.

Abstract

Background: Little is known about the effects of interventions for elderly patients with hip fracture in Asian countries, particularly beyond the short term.

Methods: Outcomes (service utilization, clinical outcomes, self-care ability, and depressive symptoms) were assessed at 1, 3, 6, and 12 months after discharge. Self-care ability (ability to perform activities of daily living [ADLs]), was measured by the Chinese Barthel Index. Depressive symptoms were measured by the Chinese Geriatric Depression Scale, short form.

Results: The experimental group (n = 80) had a significantly better ADL trajectory than the control group (n = 82) during the 1st year after discharge (p =.002). More participants in the experimental group than in the control group recovered their previous walking ability both at 6 months (81% vs 58%, respectively) and 12 months (84% vs 66%, respectively) after discharge. Overall, the odds ratio for the experimental group recovering their previous walking ability was 2.72 (p <.001) compared to the control group. The experimental group had significantly fewer depressive symptoms than the control group during the 1st year following discharge (p =.004).

Conclusion: An interdisciplinary intervention for hip fracture with a discharge support component benefited elderly persons with hip fracture by improving both self-care ability and walking ability, and by decreasing depressive symptoms during the 1st year after hospital discharge.

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