Effectiveness of post-operative management strategies for adults with dementia following hip fracture surgery

Background Hip fracture is a major injury that causes significant problems for a ected individuals and their family and carers. Over 40% of people with hip fracture have dementia or cognitive impairment. The outcomes of these individuals a er surgery are poorer than for those without dementia. It is unclear which care and rehabilitation interventions achieve the best outcomes for these people. This is an update of a Cochrane Review first published in 2013. Objectives (a) To assess the e ectiveness of models of care including enhanced rehabilitation strategies designed specifically for people with dementia following hip fracture surgery compared to usual care. (b) To assess for people with dementia the e ectiveness of models of care including enhanced rehabilitation strategies that are designed for all older people, regardless of cognitive status, following hip fracture surgery, compared to usual care. Search methods We searched ALOIS (www.medicine.ox.ac.uk/alois), the Cochrane Dementia and Cognitive Improvement Group Specialised Register, MEDLINE (OvidSP), Embase (OvidSP), PsycINFO (OvidSP), CINAHL (EBSCOhost), Web of Science Core Collection (ISI Web of Science), LILACS (BIREME), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform on 16 October 2019. Selection criteria We included randomised and quasi-randomised controlled trials evaluating the e ectiveness of any model of enhanced care and rehabilitation for people with dementia a er hip fracture surgery compared to usual care. Data collection and analysis Two review authors independently selected trials for inclusion and extracted data. We assessed risk of bias of the included trials. We synthesised data only if we considered the trials to be su iciently homogeneous in terms of participants, interventions, and outcomes. We used the GRADE approach to rate the overall certainty of evidence for each outcome. Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery (Review)

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Physiotherapy interventions for people with dementia and a hip fracture—a scoping review of the literature

Hall

Lang

Endacott

et al. 2017

Physiotherapy

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The findings of this scoping review suggest there is limited evidence to guide physiotherapists in the management of people with dementia who fracture their hip. No evidence was found about perceptions or experiences of patients in this group or of the physiotherapists involved in their care. Further research is needed to develop and evaluate physiotherapy interventions for people with dementia who fracture their hip.

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Effectiveness of post-operative management strategies for adults with dementia following hip fracture surgery

Cited by 3 publications

References 50 publications

Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery

Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery

Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery

Physiotherapy interventions for people with dementia and a hip fracture—a scoping review of the literature

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