Functional recovery of older hip-fracture patients after interdisciplinary intervention follows three distinct trajectories

The Gerontologist
Ming-Yueh TsengJersey Liang

Abstract

To assess the effects of an interdisciplinary intervention on the trajectories of functional recovery among older patients with hip fracture during 2 years after hospitalization. In a randomized controlled trial with 24-month follow-up, 162 patients >60 years were enrolled after hip-fracture surgery at a 3,000-bed medical center in northern Taiwan. Patients received an interdisciplinary program of geriatric consultation, in-hospital and at-home rehabilitation, and discharge planning (n = 80) or usual care (n = 82). Patients' functional status was assessed by the Chinese Barthel Index before discharge and at 1, 3, 6, 12, 18, and 24 months after discharge. Covariates included demographic attributes, depressive symptoms, and cognitive functioning. Latent class growth modeling was used to examine distinctive groups of individual trajectories within the sample. Functional recovery followed 3 distinct paths, approximated by either a quadratic or cubic function over time. These paths were (a) poor recovery (6.8%), (b) moderate recovery (47.5%), and (c) excellent recovery (45.7%). The interdisciplinary intervention significantly reduced the likelihood of poor recovery (relative risk ratio [RRR] = 0.05, p < .01) and moderate recovery (R...Continue Reading

References

Jul 1, 1991·Journal of Geriatric Psychiatry and Neurology·W J BurkeS P Wengel
Mar 1, 1997·Journal of the American Geriatrics Society·Y YoungJ Magaziner
Sep 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J MagazinerJ Kenzora
Dec 29, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·R Roubenoff, V A Hughes
Jun 7, 2002·Lancet·Steven R Cummings, L Joseph Melton
Jun 7, 2003·Journal of Clinical Nursing·Meei-Fang LouPo-Jui Yu
Jun 4, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J A KanisB Jonsson
Jun 19, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Yea-Ing Lotus ShyuJuin-Yih Su
Nov 5, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Javier Alegre-LópezJulia Fernández-Melón
Jul 20, 2005·Disability and Rehabilitation·Dorly J H Deeg
Dec 21, 2005·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Y-I L ShyuM-C Chen
Jul 3, 2007·Archives of Physical Medicine and Rehabilitation·Avital HershkovitzShai Brill
Sep 6, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Joan D PenrodAlbert L Siu
May 8, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B AbrahamsenC Cooper
Dec 17, 2009·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jersey LiangAna R Quiñones
Mar 3, 2010·Annual Review of Clinical Psychology·Daniel S Nagin, Candice L Odgers
Apr 2, 2010·The New England Journal of Medicine·Thomas M GillHeather G Allore
Aug 21, 2010·Journal of the American Geriatrics Society·Yea-Ing L ShyuMing-Yueh Tseng

❮ Previous
Next ❯

Citations

Jan 24, 2014·Rehabilitation Research and Practice·Kathleen DonohueSaurabh Mehta
Oct 2, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·C Allyson JonesKen Eng
Dec 9, 2015·International Journal of Nursing Studies·Mieke DeschodtKoen Milisen
Apr 2, 2016·Psychological Medicine·P CristanchoK S Rawson
Aug 31, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·M EhlingerUNKNOWN Société française de chirurgie orthopédique et traumatologique (SoFCOT)
Aug 25, 2015·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·C Allyson JonesLauren A Beaupre
Mar 6, 2015·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Douglas A WolfBrenda C Spillman
Feb 9, 2017·Journal of the American Geriatrics Society·Ann L Gruber-BaldiniJay Magaziner
Jan 28, 2016·The Cochrane Database of Systematic Reviews·Daniela C Gonçalves-BradleySasha Shepperd
Nov 28, 2013·Current Opinion in Clinical Nutrition and Metabolic Care·Maria A Fiatarone Singh
Jul 19, 2017·The Journal of Nutrition, Health & Aging·J J AardenB M Buurman
Mar 14, 2018·BMC Geriatrics·Laurence Seematter-BagnoudChristophe J Büla
Jan 16, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K K LimJ S B Koh
Apr 4, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K FischerH A Bischoff-Ferrari
Jan 21, 2021·International Journal of Environmental Research and Public Health·Rafael Prieto-MorenoMorten Tange Kristensen
Sep 11, 2020·Female Pelvic Medicine & Reconstructive Surgery·Michael HeitKevin L Rand
Dec 28, 2016·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Julie Dorsey, Michelle Bradshaw
Nov 13, 2021·The Cochrane Database of Systematic Reviews·Helen Hg HandollTerence P Finnegan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.