Huusko Tiina M, Karppi Pertti, Avikainen Veikko, Kautiainen Hannu, Sulkava Raimo
Department of Public Health and General Practice, University of Kuopio, Finland.
Acta Orthop Scand. 2002 Aug;73(4):425-31. doi: 10.1080/00016470216324.
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.
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。