Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2010 Sep 29:11:225.
doi: 10.1186/1471-2474-11-225.

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

Yea-Ing L Shyu  1 , Jersey Liang, Chi-Chuan Wu, Huey-Shinn Cheng, Min-Chi Chen
Affiliations
Randomized Controlled Trial

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

Yea-Ing L Shyu et al. BMC Musculoskelet Disord. .

Abstract

Background: The effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients with hip fracture who received our interdisciplinary intervention program would have better HRQOL than those who did not.

Methods: A randomized experimental design was used. Older patients with hip fracture (N = 162), 60 to 98 years old, from a medical center in northern Taiwan were randomly assigned to an experimental (n = 80) or control (n = 82) group. HRQOL was measured by the SF-36 Taiwan version at 1, 3, 6, and 12 months after discharge.

Results: The experimental group had significantly better overall outcomes in bodily pain (β = 9.38, p = 0.002), vitality (β = 9.40, p < 0.001), mental health (β = 8.16, p = 0.004), physical function (β = 16.01, p < 0.001), and role physical (β = 22.66, p < 0.001) than the control group at any time point during the first year after discharge. Physical-related health outcomes (physical functioning, role physical, and vitality) had larger treatment effects than emotional/mental- and social functioning-related health outcomes.

Conclusions: This interdisciplinary intervention program may improve health outcomes of elders with hip fracture. Our results may provide a reference for health care providers in countries using similar programs with Chinese/Taiwanese immigrant populations.

Trial registration: NCT01052636.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Study flow diagram. Sample recruitment process.
Figure 2
Figure 2
Geriatric assessment. Geriatric assessment flow chart.
Figure 3
Figure 3
Changes in Physical function (PF) and regression coefficient (p-value) of intervention effect. Physical function (PF) at different time points and regression coefficients (p-value) for intervention effect on physical function.
Figure 4
Figure 4
Changes in Role physical (RP) and regression coefficient (p-value) of intervention effect. Role physical limitations due to physical health problems (RP) at different time points and regression coefficients (p-value) for intervention effect on role physical.
See this image and copyright information in PMC

References

    1. Randell AG, Nguyen TV, Bhalerao N, Silverman SL, Sambrook PN, Eisman JA. Deterioration in quality of life following hip fracture: a prospective study. Osteoporos Int. 2000;11:460–466. doi: 10.1007/s001980070115. - DOI - PubMed
    1. Tsai YJ, Lin HS, Chow LP. A Pilot study on Health Sector Priority Review in Taiwan: By Retrospective Study on the Elderly Hip Fracture. Taichung, Taiwan: Taiwan Provincial Institute of Family Planning; 1995.
    1. Shyu YIL, Chen MC, Liang J, Wu CC, Su JY. Predictors of functional recovery for hip fractured elders at twelve months following hospital discharge: a prospective study on a Taiwanese sample. Osteoporos Int. 2004;15:475–482. - PubMed
    1. Shyu YIL, Chen MC, Liang J, Lu JFR, Wu CC, Su JY. Changes of quality of life among elderly patients with hip fracture in Taiwan. Osteoporos Int. 2004;15:95–102. doi: 10.1007/s00198-003-1533-x. - DOI - PubMed
    1. Council for Economic Planning and Development, Executive Yuan, Republic of China. Projections of the Population of Taiwan Area, Republic of China 2008 to 2056. Taipei, Taiwan: Council for Economic Planning and Development, Executive Yuan, Republic of China; 2008. --- Either first page or author must be supplied.

Publication types

Associated data