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Geriatric and physically oriented rehabilitation improves the ability of independent living and physical rehabilitation reduces mortality: a randomised comparison of 538 patients.

https://arctichealth.org/en/permalink/ahliterature273948
Source
Clin Rehabil. 2015 Sep;29(9):892-906
Publication Type
Article
Date
Sep-2015
Author
Antti Lahtinen
Juhana Leppilahti
Samppa Harmainen
Jaakko Sipilä
Riitta Antikainen
Maija-Liisa Seppänen
Reeta Willig
Hannu Vähänikkilä
Jukka Ristiniemi
Pekka Rissanen
Pekka Jalovaara
Source
Clin Rehabil. 2015 Sep;29(9):892-906
Date
Sep-2015
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Female
Finland
Hip Fractures - mortality - rehabilitation - surgery
Humans
Independent living
Male
Physical Therapy Modalities
Prospective Studies
Recovery of Function - physiology
Treatment Outcome
Walking - physiology
Abstract
To examine effects of physical and geriatric rehabilitation on institutionalisation and mortality after hip fracture.
Prospective randomised study.
Physically oriented (187 patients), geriatrically oriented (171 patients), and health centre hospital rehabilitation (180 patients, control group).
A total of 538 consecutively, independently living patients with non-pathological hip fracture.
Patients were evaluated on admission, at 4 and 12 months for social status, residential status, walking ability, use of walking aids, pain in the hip, activities of daily living (ADL) and mortality.
Mortality was significantly lower at 4 and 12 months in physical rehabilitation (3.2%, 8.6%) than in geriatric rehabilitation group (9.6%, 18.7%, P=0.026, P=0.005, respectively) or control group (10.6%, 19.4%, P=0.006, P=0.004, respectively). At 4 months more patients in physical (84.4%) and geriatric rehabilitation group (78.0%) were able to live at home or sheltered housing than in control group (71.9%, P=0.0012 and P
PubMed ID
25452632 View in PubMed
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