Effectiveness of preoperative physical therapy for older patients with hip fracture

Geriatrics & Gerontology International
Akira SawaguchiMasahiro Abo

Abstract

To clarify the effectiveness of preoperative physical therapy for older patients after hip fracture in an acute care hospital. In the present retrospective observational study, data from the Japan Rehabilitation Database were analyzed for patients admitted to an acute care hospital with hip fracture between 2005 and 2015. In this study, all eligible patients received surgery within 10 days of admission. Propensity score analysis was used to compare outcomes between patients who underwent preoperative rehabilitation and those who did not. The primary outcome was motor Functional Independence Measure (FIM) gain. Of the 681 patients eligible after applying exclusion criteria, 50% underwent preoperative rehabilitation after hip fracture. Both before and after adjustment by inverse probability weighting, motor FIM gain was significantly higher in patients who underwent preoperative rehabilitation (motor FIM gain 31.1 ± 18.2 before weighting, 31.1 ± 18.2 after weighting) than in those who did not (motor FIM gain 24.6 ± 18.1 before weighting, P < 0.01; 26.2 ± 17.6 after weighting, P < 0.02). In addition, motor FIM effectiveness and motor FIM at discharge were significantly higher among patients who underwent preoperative rehabilitatio...Continue Reading

References

Apr 4, 2003·International Journal of Geriatric Psychiatry·Y AraiA Takeda
Sep 15, 2005·Statistics in Medicine·Alka IndurkhyaDeborah Schrag
Sep 20, 2006·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·O Johnell, J A Kanis
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Ariel Linden, John L Adams
Nov 10, 2010·Clinical Rehabilitation·Karin ValkenetFrank J G Backx
Aug 17, 2011·Annals of Internal Medicine·María T VidánJosé A Serra
Oct 27, 2011·JAMA : the Journal of the American Medical Association·Kenneth E CovinskyC Bree Johnston
Jan 25, 2013·Multidisciplinary Respiratory Medicine·Dewi Nurul MakhabahNicolino Ambrosino
Sep 27, 2013·BMJ Open·Gerald Choon-Huat KohAmardeep Thind
Mar 25, 2014·American Journal of Physical Medicine & Rehabilitation·Patrocinio Ariza-VegaMorten Tange Kristensen
Jun 6, 2014·Aging and Disease·Natasa RadosavljevicAleksandar Jeremic
Sep 19, 2014·World Journal of Orthopedics·Pedro CarpinteroManuel Mesa

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Citations

Jun 8, 2019·Disability and Rehabilitation. Assistive Technology·Rodrigo Pérez-RodríguezLeocadio Rodríguez-Mañas
Jun 27, 2019·Journal of Cardiopulmonary Rehabilitation and Prevention·Shoya SuzukiMasahiro Abo
Apr 14, 2020·Journal of Geriatric Physical Therapy·Tomohiro KobataRyo Momosaki
Jun 22, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Lindsey Brown-TaylorBenjamin S Brooke

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