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髋部骨折患者的强化老年康复:一项随机对照试验。

Intensive geriatric rehabilitation of hip fracture patients: a randomized, controlled trial.

作者信息

Huusko Tiina M, Karppi Pertti, Avikainen Veikko, Kautiainen Hannu, Sulkava Raimo

机构信息

Department of Public Health and General Practice, University of Kuopio, Finland.

出版信息

Acta Orthop Scand. 2002 Aug;73(4):425-31. doi: 10.1080/00016470216324.

Abstract

We determined the effect of geriatric rehabilitation of hip fracture patients on mortality, length of hospital stay, and functional recovery. In a randomized, controlled intervention study, 243 community dwelling hip fracture patients over 64 years of age were randomly assigned to 2 rehabilitation groups. The intervention group (n = 120) was referred to a geriatric ward for team rehabilitation, and the controls (n = 123) to local hospital wards for standard care. The median length of total hospital stay after a hip fracture operation was 34 (95% CI 28-38) days in the intervention group and 42 (95% CI 35-48) days in the control group (p = 0.05). The intervention group recovered instrumental activities of daily living faster (p = 0.05). Direct costs of medical care during the first year did not differ remarkably.

摘要

我们确定了老年髋部骨折患者康复治疗对死亡率、住院时间和功能恢复的影响。在一项随机对照干预研究中,243名64岁以上的社区居住髋部骨折患者被随机分为2个康复组。干预组(n = 120)被转至老年病房接受团队康复治疗,对照组(n = 123)在当地医院病房接受标准护理。髋部骨折手术后,干预组的总住院时间中位数为34(95%CI 28 - 38)天,对照组为42(95%CI 35 - 48)天(p = 0.05)。干预组日常生活工具性活动恢复得更快(p = 0.05)。第一年的医疗直接费用没有显著差异。

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