Rehabilitation of Older Adults with Dementia After Hip Fracture

Journal of the American Geriatrics Society
Dallas P SeitzPaula A Rochon

Abstract

To evaluate the effects of postoperative rehabilitation on the outcomes of older adults with dementia who experienced hip fracture. Retrospective cohort study. Ontario, Canada. Community-dwelling adults with dementia who underwent hip fracture surgery between 2003 and 2011. Participants were categorized as no rehabilitation, complex continuing care (CCC), home-care based rehabilitation (HCR), and inpatient rehabilitation (IPR). Time to long-term care (LTC) placement, mortality, and risk of repeat hip fracture and falls. Of 11,200 individuals with dementia who experienced a hip fracture during the study period, 4,494 (40.1%) received no rehabilitation, 2,474 (22.1%) were admitted to CCC, 1,157 (10.3%) received HCR, and 3,075 (27.4%) received IPR. HCR and IPR were associated with less risk of LTC admission after discharge from hospital than no rehabilitation. All three forms of rehabilitation were associated with lower risk of mortality than no rehabilitation, with the greatest effect observed with IPR. HCR was associated with a higher risk of falls than no rehabilitation (P = .03); there were no other significant between-group differences in risk of falls or repeat fractures (P > .05). Postfracture rehabilitation for older adult...Continue Reading

References

Nov 1, 1994·Journal of Clinical Epidemiology·M CharlsonJ Gold
Jun 21, 2001·JAMA : the Journal of the American Medical Association·E L HannanA L Siu
Jun 26, 2001·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M E WiktorowiczE Papadimitropoulos
Oct 30, 2001·American Journal of Epidemiology·S SchneeweissR J Glynn
May 2, 2002·Journal of the American Geriatrics Society·Francesco LandiAlberto Cocchi
May 23, 2002·Clinical Rehabilitation·Yichayaou BelooseskyDavid Hendel
Apr 17, 2003·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Andrew F CoburnRobert G Keith
May 25, 2004·International Journal of Geriatric Psychiatry·Eric J LenzeCharles F Reynolds
Jun 19, 2004·Disability and Rehabilitation·Yves RollandChristine Lafont
Jun 24, 2004·Journal of the American Geriatrics Society·Joan D PenrodAlbert L Siu
Aug 19, 2004·JAMA : the Journal of the American Medical Association·Ellen F BinderKenneth B Schechtman
Mar 11, 2005·Archives of Physical Medicine and Rehabilitation·Michael C MuninEric J Lenze
Mar 19, 2005·The Journal of Bone and Joint Surgery. British Volume·I WellerH J Kreder
Dec 20, 2005·Lancet·Cleusa P FerriUNKNOWN Alzheimer's Disease International
Dec 6, 2006·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Russel BurgeAnna Tosteson
Jul 3, 2007·Archives of Physical Medicine and Rehabilitation·Avital HershkovitzShai Brill
Aug 29, 2007·Journal of Rehabilitation Medicine·Julie HalbertUNKNOWN Hip Fracture Rehabilitation Trial Collaborative Group
Oct 9, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Lauren A BeaupreL Duncan Saunders
Oct 30, 2007·Archives of Physical Medicine and Rehabilitation·Melinda Beeuwkes Buntin
Apr 17, 2008·Cancer Causes & Control : CCC·D TrichopoulosH O Adami
Oct 8, 2009·American Journal of Epidemiology·Suzanne E BentlerFredric D Wolinsky
Aug 30, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Dallas P SeitzPaula A Rochon

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Citations

May 26, 2018·American Journal of Physical Medicine & Rehabilitation·Eliyahu Hayim MizrahiAbraham Adunsky
Jan 27, 2019·Scientific Reports·Juho-Pekka KarjalainenTerho Lehtimäki
Jan 4, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R MitchellJ Braithwaite
Feb 14, 2019·The Gerontologist·Monica CationsKate E Laver
Apr 3, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J GlynnC L Gregson
Mar 28, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Lauren A BeaupreSumit R Majumdar
Jan 28, 2020·The Journal of Nursing Research : JNR·Wantonoro WantonoroYea-Ing Lotus Shyu
Oct 30, 2019·Health Technology Assessment : HTA·Louise M AllanClaire Bamford
May 23, 2020·Orthopaedic Nursing·Minh Ha Nguyen, Siew Kwaon Lui
May 3, 2020·Aging Clinical and Experimental Research·Antonio De VincentisRaffaele Antonelli Incalzi
Dec 29, 2017·Dementia and Geriatric Cognitive Disorders Extra·Mari KasaiEiji Itoi
Aug 22, 2017·The American Journal of Hospice & Palliative Care·Riikka E KosoAnthony N Galanos
Sep 12, 2018·BMC Health Services Research·Dario TedescoMaria Pia Fantini
Nov 24, 2020·Dementia·Katherine S McGiltonAstrid Escrig-Pinol
Jul 10, 2021·Archives of Physical Medicine and Rehabilitation·Katherine S McGiltonSusan E Bronskill
Aug 25, 2021·Disability and Rehabilitation·Natasha BeerKatie J Sheehan
Nov 30, 2021·Physiotherapy Theory and Practice·Heidi Borgund HordvikGraziella Van den Bergh

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