PMID: 9531203Apr 8, 1998Paper

Effect of acute inpatient rehabilitation on outcome after fracture of the femoral neck or intertrochanteric fracture

The Journal of Bone and Joint Surgery. American Volume
Kenneth J KovalJ D Zuckerman

Abstract

A study was performed to assess the impact of intensive inpatient rehabilitation on the outcome after a fracture of the femoral neck or an intertrochanteric fracture. Before 1990, our hospital did not have an inpatient rehabilitation program. On January 1, 1990, a diagnosis-related-group-exempt (DRG-exempt) acute rehabilitation program was initiated. Patients were discharged to this program after evaluation by a staff physiatrist. Before 1990, twenty-seven (9.0 per cent) of 301 patients were discharged to an outside rehabilitation facility. After January 1990, the percentage of patients who were discharged to the DRG-exempt program increased yearly, from nineteen (17 per cent) of 113 patients in 1990 to forty-one (64 per cent) of sixty-four patients in 1993; this difference was significant (p < 0.01). Before 1990, the average duration of the stay in the hospital was 21.9 days. After January 1990, the average duration for the patients who did not enter the rehabilitation program was 20.0 days whereas the average duration for those who did was 31.4 days (16.1 days for acute care and 15.6 days for the rehabilitation program). There were no differences in the hospital discharge status or in the walking ability, place of residence, ...Continue Reading

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Citations

Jan 10, 2002·Journal of Orthopaedic Trauma·Konrad I GrusonKenneth J Koval
Jun 7, 2019·African Journal of Primary Health Care & Family Medicine·Sevani Singaram, Mergan Naidoo
Jan 25, 2002·American Journal of Physical Medicine & Rehabilitation·Marco Di MonacoAlberto Cavanna
Jan 25, 2003·American Journal of Physical Medicine & Rehabilitation·Marco Di MonacoAlberto Cavanna
Feb 18, 2003·Journal of the American Geriatrics Society·R Scott BraithwaiteJohn B Wong
Jul 28, 2004·American Journal of Physical Medicine & Rehabilitation·Marco Di MonacoAlberto Cavanna
Feb 29, 2000·Clinical Orthopaedics and Related Research·K C Chan, G S Gill
Mar 5, 2004·International Journal of Clinical Practice·M A HashmiK H A Wahab
Jul 15, 2016·Australian Occupational Therapy Journal·Kylee J LockwoodKatherine E Harding
Nov 26, 2005·Journal of General Internal Medicine·Lauren A BeaupreSumit R Majumdar
Aug 5, 2004·Clinical Orthopaedics and Related Research·Roger CornwallAlbert L Siu
Dec 14, 2004·Arthritis and Rheumatism·Paola de PabloJeffrey N Katz
Mar 17, 2004·Clinical Orthopaedics and Related Research·Vilhjalmur FinsenKathrin Sørensen Sneve
Nov 11, 2003·Journal of the American Academy of Nurse Practitioners·Karen S HayesAnnette Heilman
Oct 29, 2014·Orthopedics·Ahmet KinaciDavid C Ring
Dec 27, 2016·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Jorge Malouf-SierraFernando Marin

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