Mortality, Survival, and Readmissions During a 12-Month Follow-Up After Hip Fracture: Inpatient Rehabilitation Versus Home Rehabilitation
- PMID: 37417864
- DOI: 10.1097/RNJ.0000000000000423
Mortality, Survival, and Readmissions During a 12-Month Follow-Up After Hip Fracture: Inpatient Rehabilitation Versus Home Rehabilitation
Abstract
Purpose: This study compared readmissions, survival, and mortality during a 12-month follow-up period of inpatient rehabilitation and home rehabilitation for older persons who had experienced a hip fracture.
Methods: This work was retrospective cohort research. Between January 1 and December 30, 2019, the medical records of 280 elderly patients who were admitted to a hospital with a hip fracture were analyzed. Of these patients, 74.3% received inpatient rehabilitation, whereas 25.7% received home rehabilitation.
Results: In terms of readmissions and death, there were no appreciable differences between the inpatient rehabilitation and home rehabilitation groups. The patients in the inpatient rehabilitation group were older; more likely to need assistance with activities of daily living; and were taking, on average, more prescription drugs on a daily basis than those in the home rehabilitation group.
Conclusions and clinical relevance: In conclusion, as better outcomes were expected for the home rehabilitation group, which on average included less complicated patients, our findings suggest that the home rehabilitation pathway may not be a good alternative to the inpatient rehabilitation pathway.
Copyright © 2023 Association of Rehabilitation Nurses.
References
-
- Auais M. A., Eilayyan O., Mayo N. E. (2012). Extended exercise rehabilitation after hip fracture improves patients' physical function: A systematic review and meta-analysis. Physical Therapy, 92(11), 1437–1451. 10.2522/ptj.20110274. - DOI
-
- Barry M. L., Maday K. R. (2021). Reviewing acute hip fractures in adults. JAAPA: Official Journal of the American Academy of Physician Assistants, 34(9), 1–10. 10.1097/01.JAA.0000742968.43332.6e. - DOI
-
- Berggren M., Karlsson Å., Lindelöf N., Englund U., Olofsson B., Nordström P., Gustafson Y., Stenvall M. (2019). Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: A randomized controlled trial. Clinical Rehabilitation, 33(1), 64–73. 10.1177/0269215518791003. - DOI
-
- Carneiro M. B., Alves D. P., Mercadante M. T. (2013). Physical therapy in the postoperative of proximal femur fracture in elderly: Literature review. Acta Ortopedica Brasileira, 21(3), 175–178. 10.1590/S1413-78522013000300010. - DOI
-
- Downey C., Kelly M., Quinlan J. F. (2019). Changing trends in the mortality rate at 1-year post hip fracture—A systematic review. World Journal of Orthopedics, 10(3), 166–175. 10.5312/wjo.v10.i3.166. - DOI
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