Does place of residence influence hospital rehabilitation and assessment of falls and osteoporosis risk following admission with hip fracture?

Total hospital stay for hip fracture: measuring the variations due to pre-fracture residence, rehabilitation, complications and comorbidities

“…The findings of this study suggest that knowledge of pre-fracture residential status is vital to the understanding of the hospital trajectory for hip fracture. While other studies have previously noted a comparatively short LOS for RAC patients in the acute phase [ 13 , 20 , 29 ] and similarly for “total institutional days” [ 13 , 27 ], LOS in all phases of hospital stay were shorter for these patients in this study.…”

Recovery of Function Following a Hip Fracture in Geriatric Ambulatory Persons Living in Nursing Homes: Prospective Cohort Study

“…In other studies examining postoperative care of nursing home residents, shorter hospital stays and limited or no access to rehabilitation facilities have also been reported . One study reported that only 31% of nursing home residents were functionally independent within 4 months of hip fracture, compared with 61% before fracture .…”

“…Seventy‐five percent were given clearance to bear weight as tolerated postoperatively, and rehabilitation started on the first postoperative day, but the median surgical hospital length of stay was 8 days, and all participants were discharged to their residential facility. Because most nursing home facilities are generally limited in professional caregivers who can provide more than basic care, it is unlikely that a 1‐week period of in‐hospital rehabilitation is sufficient to promote maximal recovery after a hip fracture. Unlike in the United States, Canadian nursing homes are reserved for long‐term residential care and do not typically provide episodic skilled nursing or rehabilitative care after an injury or illness.…”

“…Limited evidence suggests that nursing home residents do not experience the same functional recovery as those residing in the community after a hip fracture . Nursing home residents are often ineligible for inpatient rehabilitation and are discharged directly to their residential facility once they are medically stable . Evidence about potential functional recovery has been gained from studies that were small, included nursing home residents as a small subset of the study population, or combined nursing home residents with cognitively impaired individuals residing in the community .…”

If Mohammed won't come to the mountain, the mountain must go to Mohammed

“…The problem for frail older people in many western countries is that once they move out of the community and into a residential facility, for a range of complex reasons, their access to consistent high-quality medical care and multidisciplinary teams (palliative, geriatric and rehabilitation) dramatically diminishes [1, 2]. …”