Effectiveness of acute in‐hospital occupational therapy for older patients with hip fracture

Abstract

Aim To test the hypothesis that hip fracture patients who receive occupational therapy (OT) have better functional ability than those who do not. Methods This retrospective observational study utilized data from the Japan Rehabilitation Database spanning 2005–2015. In‐hospital hip fracture patients admitted to acute hospitals were identified. In total, 1266 patients were eligible based on the exclusion criteria. The primary outcome was motor Functional Independence Measure (FIM) efficiency. Results Patients who received OT were 50.9% of hip fracture patients. Patients who received OT had significantly higher scores in motor FIM efficiency (mean 0.79 vs 0.70; P = 0.02) and FIM effectiveness (mean 0.49 vs 0.41; P < 0.01) than the patients who did not receive OT. From multivariate linear regression analysis, OT was identified as a significant factor in motor FIM efficiency (coefficient 1.29, 95% confidence interval 1.14–1.47; P < 0.01) and FIM effectiveness (coefficient 1.07, 95% confidence interval 1.02–1.12; P < 0.01). Conclusions The present cohort analysis showed that OT for hip fracture patients in the acute phase likely contributes to improved functional ability. Geriatr Gerontol Int 2019; 19: 611–615.

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030 Initiative

“…There is growing research showing that occupational therapy interventions are effective for people with health conditions across the life course, decreasing health care utilization (Rogers et al, 2017), improving the ability to complete daily life activities independently or with reduced assistance (Aghajanzade et al, 2019;Ahn, 2019;Burgess & Jensen, 2019;Uruma et al, 2019), and increasing quality of life (Levasseur et al, 2019;Yang et al, 2020).…”

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

“…Patients and physicians have pursued more aggressive and ambitious objectives, such as returning patients to their prefracture ADL level and previous social settings, while the classical goals of HFS were to reduce mortality and refracture after hip fracture. However, the implementation rate of occupational therapy after HFS is not high [ 85 ]. Occupational therapy is often determined not by the preferences of patients but by physicians’ preferences [ 85 ].…”

“…However, the implementation rate of occupational therapy after HFS is not high [ 85 ]. Occupational therapy is often determined not by the preferences of patients but by physicians’ preferences [ 85 ].…”

“…However, there were significant effects on patients’ health perception and post-fall confidence (SMD=0.391; 95% CI, 0.104–0.678; p=0.008) [ 86 ]. In a retrospective study, 50.9% of 1,266 patients received occupational therapy during hospitalization, and it was found that the group who received occupational therapy had greater motor FIM efficiency (average 0.79 vs. 0.70; p=0.02) and FIM effectiveness (average 0.49 vs. 0.41; p<0.01) than the control group [ 85 ].…”

Not just mortality and morbidity, but also functioning: Opportunities and challenges for Occupational Therapy in the World Health Organization’s Rehabilitation 2030

“…De plus en plus de recherches montrent que les interventions ergothérapiques sont efficaces, qu’elles réduisent l’utilisation des soins de santé (Rogers, Bai, Lavin et Anderson, 2016), améliorent la capacité de réaliser les activités de la vie quotidienne ou de les effectuer avec moins d’assistance (Ahn, 2019; Uruma, et al, 2019; Burgess et Jensen, 2019; Aghajanzade, et al, 2019) et rehaussent la qualité de vie (Levasseur, et al, 2019; Yang, Wang et Chang, 2019) des individus vivant avec des problèmes de santé, peu importe leur âge.…”