Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Hasebe, Kiyotaka; Momosaki, Ryo; Sawabe, Masashi; Chono, Masayuki; Sawaguchi, Akira; Kasuga, Seiji; Asanuma, Daichi; Suzuki, Shoya; Miyauchi, Narimi; Abo, Masahiro

doi:10.1111/ggi.13326

Cited by 15 publications

(12 citation statements)

References 17 publications

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“…Studies have concluded that additional weekend and holiday PT service may possibly reduce hospital LOS for individuals with various disease groups receiving in-patient rehabilitation. 8 , 9 , 10 , 14 , 20 Results of our study are in line with the literature. Results suggested that similar functional mobility (

0998

) and ADL level (

0743

) were achieved with a shorter LOS (

0001

) when patients were discharged from rehabilitation hospital in study group.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study

Lau

Fung

et al. 2021

Hong Kong Physiother. J.

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Objective: To evaluate the new service model of additional weekend and holiday physiotherapy (PT) by comparing functional outcomes and hospital length of stay between a group of geriatric patients with hip fracture receiving daily PT training and a group of geriatric patients with hip fracture receiving weekdays PT training. Methods: A retrospective case-historical control chart review was conducted and a total of 355 patients were identified. Between-group comparisons were done on functional outcomes including Modified Functional Ambulation Classification (MFAC), Elderly Mobility Scale (EMS), Modified Barthel Index (MBI) and process outcome in terms of length of stay (LOS) in hospitals. Results: With similar characteristics, patients who received weekend and holiday PT training had a significant higher percentage of MFAC Category III and a significant lower percentage of MFAC Category II ([Formula: see text]) and significant higher MBI scores ([Formula: see text] deviation, median; Study group: [Formula: see text] points, 51 points; Control group: [Formula: see text] points, 43 points; [Formula: see text]) upon admission to rehabilitation hospital. A similar trend in EMS scores (Study group: [Formula: see text] points, 7 points; Control group: [Formula: see text] points, 6 points; [Formula: see text]) and MBI scores (Study group: [Formula: see text] points, 68 points; Control group: [Formula: see text] points, 64 points; [Formula: see text]) were observed upon discharge from the rehabilitation hospital. The average LOS in acute hospitals remained static (Study group: [Formula: see text] days, 7 days; Control group: [Formula: see text] days, 6 days; [Formula: see text]). The average LOS in rehabilitation hospital (Study group: [Formula: see text] days, 20 days; Control group: [Formula: see text] days, 23 days; [Formula: see text]) and total in-patient LOS (Study group: [Formula: see text] days, 26 days; Control group: [Formula: see text] days, 28 days; [Formula: see text]) were significantly reduced. A higher percentage of days having PT training during hospitalization in rehabilitation hospital was shown with the implementation of new service (Study group: 89.1%; Control group: 65.9%, [Formula: see text]). Conclusion: Additional weekend and holiday PT training in post-operative acute and rehabilitation hospitalization benefits geriatric patients with hip fracture in terms of improved training efficiency, where hospital LOS was shortened with more PT sessions, without any significant impacts on functional outcome.

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0998

) and ADL level (

0743

) were achieved with a shorter LOS (

0001

) when patients were discharged from rehabilitation hospital in study group.…”

Section: Discussionsupporting

confidence: 91%

“…Recently, Hasebe et al. 14 reported that the additional weekend rehabilitation training led to a faster functional recovery and reduce LOS for Japanese patients with hip fracture.…”

Section: Introductionmentioning

confidence: 99%

Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study

Lau

Fung

et al. 2021

Hong Kong Physiother. J.

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“…Improving Saturday and Sunday AHP services may facilitate an improvement in quality of care in line with the national care guidelines, as well as yield better patient outcomes [8]. Previous research has shown that the availability of weekend physiotherapy services is variable [20], but that these services have the potential to reduce length of stay and improve functional recovery in hip fracture patients [21]. There is also an association between the intensity and frequency of geriatrician input and improved survival of patients with hip fracture [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Does quality of care in hip fracture vary by day of admission?

et al. 2020

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This study investigates if the day of the week a person is admitted with a hip fracture influences the quality of care they receive. We found those admitted Thursday and Friday were likely to obtain poorer postoperative care, indicating a need to optimize services ensuring equality for all. Purpose We sought to investigate how the day of admission affects the quality of care provided to hip fracture patients according to national standards (The Scottish Standards of Care for Hip Fracture Patients [SSCHFP]). Methods Retrospective analysis of national cohort data. Data were collected by the Scottish Hip Fracture Audit (SHFA) local audit co-ordinators (LACs) at participating Scottish hospitals on behalf of NHS Scotland and the Scottish Government. Adherence to the SSCHFP included assessment of both individual and cumulative standard attainment as a marker for quality of patient care. Results

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“…Overall, however, more high-quality and large-scale trials are needed to identify the optimal rehabilitation regimens, and a tailored mix of different types of training is currently advisable. It should be noted that, when feasible, high-intensity exercise programs have provided more satisfactory health outcomes than lowintensity ones [200][201][202].…”

Section: Physiatric and Physiotherapy Evaluation Individual Rehabilitation Project (Irp) And Early Mobilizationmentioning

confidence: 99%

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

Vincentis

Behr²,

Bellelli

et al. 2021

Aging Clin Exp Res

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Background Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. Aim To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. Methods A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra-and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. Results A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). Conclusion These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.

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Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture

Abstract: The present cohort analysis showed that weekend rehabilitation for hip fracture patients can lead to functional recovery and reduce the length of stay. Geriatr Gerontol Int 2018; 18: 1143-1146.

Cited by 15 publications

References 17 publications

Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study

Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study

Does quality of care in hip fracture vary by day of admission?

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

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