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Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese.
J Am Geriatr Soc. 2010 Jun; 58(6):1081-9.JA

Abstract

OBJECTIVES

To explore the 2-year outcomes of an interdisciplinary intervention for elderly patients with hip fracture.

DESIGN

Randomized experimental design.

SETTING

A 3,000-bed medical center in northern Taiwan.

PARTICIPANTS

Patients with hip fracture (N=162): 80 in the intervention group and 82 in the usual care control group.

INTERVENTION

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

MEASUREMENTS

Outcomes (clinical outcomes, self-care ability, health-related quality of life (HRQoL), service utilization, and depressive symptoms) were assessed 1, 3, 6, 12, 18, and 24 months after discharge. Self-care ability (ability to perform activities of daily living (ADLs)) was measured using the Chinese Barthel Index. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version (SF-36). Depressive symptoms were measured using the Chinese Geriatric Depression Scale, short form.

RESULTS

Subjects in the intervention group had significantly better ratios of hip flexion (beta=5.43, P<.001), better performance on ADLs (beta=9.22, P<.001), better recovery of walking ability (odds ratio (OR)=2.23, P<.001), fewer falls (OR=0.56, P=.03), fewer depressive symptoms (beta=-1.31, P=.005), and better SF-36 physical summary scores (beta=6.08, P<.001) than the control group during the first 24 months after discharge. The intervention did not affect the peak force of the fractured limb's quadriceps, mortality, service utilization, or SF-36 mental summary score.

CONCLUSION

The interdisciplinary intervention for hip fracture benefited elderly persons with hip fracture by improving clinical outcomes, self-care ability, and physical health-related outcomes and by decreasing depressive symptoms during the first 24 months after hospital discharge.

Authors+Show Affiliations

School of Nursing, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan. yeaing@mail.cgu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20722845

Citation

Shyu, Yea-Ing L., et al. "Two-year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese." Journal of the American Geriatrics Society, vol. 58, no. 6, 2010, pp. 1081-9.
Shyu YI, Liang J, Wu CC, et al. Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese. J Am Geriatr Soc. 2010;58(6):1081-9.
Shyu, Y. I., Liang, J., Wu, C. C., Su, J. Y., Cheng, H. S., Chou, S. W., Chen, M. C., Yang, C. T., & Tseng, M. Y. (2010). Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese. Journal of the American Geriatrics Society, 58(6), 1081-9. https://doi.org/10.1111/j.1532-5415.2010.02882.x
Shyu YI, et al. Two-year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese. J Am Geriatr Soc. 2010;58(6):1081-9. PubMed PMID: 20722845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese. AU - Shyu,Yea-Ing L, AU - Liang,Jersey, AU - Wu,Chi-Chuan, AU - Su,Juin-Yih, AU - Cheng,Huey-Shinn, AU - Chou,Shih-Wei, AU - Chen,Min-Chi, AU - Yang,Ching-Tzu, AU - Tseng,Ming-Yueh, PY - 2010/8/21/entrez PY - 2010/8/21/pubmed PY - 2010/10/12/medline SP - 1081 EP - 9 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 58 IS - 6 N2 - OBJECTIVES: To explore the 2-year outcomes of an interdisciplinary intervention for elderly patients with hip fracture. DESIGN: Randomized experimental design. SETTING: A 3,000-bed medical center in northern Taiwan. PARTICIPANTS: Patients with hip fracture (N=162): 80 in the intervention group and 82 in the usual care control group. INTERVENTION: An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning. MEASUREMENTS: Outcomes (clinical outcomes, self-care ability, health-related quality of life (HRQoL), service utilization, and depressive symptoms) were assessed 1, 3, 6, 12, 18, and 24 months after discharge. Self-care ability (ability to perform activities of daily living (ADLs)) was measured using the Chinese Barthel Index. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version (SF-36). Depressive symptoms were measured using the Chinese Geriatric Depression Scale, short form. RESULTS: Subjects in the intervention group had significantly better ratios of hip flexion (beta=5.43, P<.001), better performance on ADLs (beta=9.22, P<.001), better recovery of walking ability (odds ratio (OR)=2.23, P<.001), fewer falls (OR=0.56, P=.03), fewer depressive symptoms (beta=-1.31, P=.005), and better SF-36 physical summary scores (beta=6.08, P<.001) than the control group during the first 24 months after discharge. The intervention did not affect the peak force of the fractured limb's quadriceps, mortality, service utilization, or SF-36 mental summary score. CONCLUSION: The interdisciplinary intervention for hip fracture benefited elderly persons with hip fracture by improving clinical outcomes, self-care ability, and physical health-related outcomes and by decreasing depressive symptoms during the first 24 months after hospital discharge. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/20722845/Two_year_effects_of_interdisciplinary_intervention_for_hip_fracture_in_older_Taiwanese_ L2 - https://doi.org/10.1111/j.1532-5415.2010.02882.x DB - PRIME DP - Unbound Medicine ER -