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A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan.
J Am Geriatr Soc. 2005 May; 53(5):811-8.JA

Abstract

OBJECTIVES

To evaluate an interdisciplinary intervention program for older people with hip fracture in Taiwan.

DESIGN

Randomized experimental design.

SETTING

A 3,800-bed medical center in northern Taiwan.

PARTICIPANTS

Elderly patients with hip fracture (N=137) were randomly assigned to an experimental (n=68) or control (n=69) group.

INTERVENTION

An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning.

MEASUREMENTS

Demographic and outcome variables were measured. Outcome variables included service utilization, clinical outcomes, self-care abilities, health-related quality-of-life (HRQOL) outcomes, and depressive symptoms.

RESULTS

Subjects in the experimental group improved significantly more than those in the control group in the following outcomes: ratio of hip flexion 1 month after discharge (P=.02), recovery of previous walking ability at 1 month (P=.04) and 3 months (P=.001) after discharge, and activities of daily living at 1 month (P=.01) and 2 months (P=.001) after discharge. Three months after discharge, the experimental group showed significant improvement in peak force of the fractured limb's quadriceps (P=.04) and the following health outcomes: bodily pain (P=.03), vitality (P<.001), mental health (P=.02), physical function (P<.001), and role physical (P=.006). They also had fewer depressive symptoms (P=.008) 3 months after discharge.

CONCLUSION

This intervention program may benefit older people with hip fractures in Taiwan by improving their clinical outcomes, self-care abilities, and HRQOL and by decreasing depressive symptoms within 3 months after discharge.

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Authors+Show Affiliations

Shyu YI
Center for Gerontological Research, Chang Gung University, Kweishan, Taoyuan, Taiwan.
Liang J
No affiliation info available
Wu CC
No affiliation info available
Su JY
No affiliation info available
Cheng HS
No affiliation info available
Chou SW
No affiliation info available
Yang CT
No affiliation info available

MeSH

Activities of Daily LivingAgedDepressionFemaleHip FracturesHumansMalePatient Care TeamPilot ProjectsQuality of LifeTaiwanTreatment OutcomeWalking

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15877556

Citation

Shyu, Yea-Ing Lotus, et al. "A Pilot Investigation of the Short-term Effects of an Interdisciplinary Intervention Program On Elderly Patients With Hip Fracture in Taiwan." Journal of the American Geriatrics Society, vol. 53, no. 5, 2005, pp. 811-8.
Shyu YI, Liang J, Wu CC, et al. A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan. J Am Geriatr Soc. 2005;53(5):811-8.
Shyu, Y. I., Liang, J., Wu, C. C., Su, J. Y., Cheng, H. S., Chou, S. W., & Yang, C. T. (2005). A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan. Journal of the American Geriatrics Society, 53(5), 811-8.
Shyu YI, et al. A Pilot Investigation of the Short-term Effects of an Interdisciplinary Intervention Program On Elderly Patients With Hip Fracture in Taiwan. J Am Geriatr Soc. 2005;53(5):811-8. PubMed PMID: 15877556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan. AU - Shyu,Yea-Ing Lotus, AU - Liang,Jersey, AU - Wu,Chi-Chuan, AU - Su,Juin-Yih, AU - Cheng,Huey-Shinn, AU - Chou,Shih-Wei, AU - Yang,Ching-Tzu, PY - 2005/5/10/pubmed PY - 2005/6/23/medline PY - 2005/5/10/entrez SP - 811 EP - 8 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 53 IS - 5 N2 - OBJECTIVES: To evaluate an interdisciplinary intervention program for older people with hip fracture in Taiwan. DESIGN: Randomized experimental design. SETTING: A 3,800-bed medical center in northern Taiwan. PARTICIPANTS: Elderly patients with hip fracture (N=137) were randomly assigned to an experimental (n=68) or control (n=69) group. INTERVENTION: An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning. MEASUREMENTS: Demographic and outcome variables were measured. Outcome variables included service utilization, clinical outcomes, self-care abilities, health-related quality-of-life (HRQOL) outcomes, and depressive symptoms. RESULTS: Subjects in the experimental group improved significantly more than those in the control group in the following outcomes: ratio of hip flexion 1 month after discharge (P=.02), recovery of previous walking ability at 1 month (P=.04) and 3 months (P=.001) after discharge, and activities of daily living at 1 month (P=.01) and 2 months (P=.001) after discharge. Three months after discharge, the experimental group showed significant improvement in peak force of the fractured limb's quadriceps (P=.04) and the following health outcomes: bodily pain (P=.03), vitality (P<.001), mental health (P=.02), physical function (P<.001), and role physical (P=.006). They also had fewer depressive symptoms (P=.008) 3 months after discharge. CONCLUSION: This intervention program may benefit older people with hip fractures in Taiwan by improving their clinical outcomes, self-care abilities, and HRQOL and by decreasing depressive symptoms within 3 months after discharge. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/15877556/A_pilot_investigation_of_the_short_term_effects_of_an_interdisciplinary_intervention_program_on_elderly_patients_with_hip_fracture_in_Taiwan_ L2 - https://doi.org/10.1111/j.1532-5415.2005.53253.x DB - PRIME DP - Unbound Medicine ER -