Evaluation of a multidisciplinary rehabilitation programme for elderly patients with hip fracture: A prospective cohort study

Cheung, Wing-Hoi; Shen, WY; Dai, David Lok-Kwan; Lee, Kin Bong; Zhu, Tracy Y.; Wong, Ronald Man Yeung; Leung, Kwok-Sui

doi:10.2340/16501977-2310

Cited by 26 publications

(25 citation statements)

References 31 publications

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“…When associated with orthogeriatric co-management and physician consultations, group exercise and vibration-therapy over a 18-month period can reduce the re-fracture rate, improve balance and mobility and reduce costs in fragility hip fracture patients [69].…”

Section: Multifactorial Falls Risk Assessment and Interventions In Patients With High Risk Of Fallingmentioning

confidence: 99%

How Can We Prevent Falls?

Blain

Miot

Bernard

2020

Practical Issues in Geriatrics

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Falls represent a major health problem in subjects aged 65 or older because of their high prevalence and the severity of their physical, functional, psychological and financial consequences. Indeed, approximately 30% of people living in the community aged over 65 years and 50% of those older than 80 experience at least one fall every year and one-third of fallers are repeated fallers. Falls result in injuries that require medical attention in 30%, fractures in 5%, a hip fracture (HF) in 1% or another major injury in 5-6%. Every year, around 50 million falls occur in Europe amongst community-dwelling older people, 2.3 million persons aged 65 years or older attend emergency departments for a fall-related injury, 1.4 million are admitted to hospital and 36,000 die from falls. Falls induce psychological consequences in patients, including fear of falling and loss of confidence that can result in selfrestricted activity levels, reduction in physical function and social interactions, and put a major strain on the family. With the ageing of the population, fall has become the third leading cause of years living with disability in older subjects and one of the main causes of admission to a nursing home [1].

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Section: Multifactorial Falls Risk Assessment and Interventions In Patients With High Risk Of Fallingmentioning

confidence: 99%

How Can We Prevent Falls?

Blain

Miot

Bernard

2020

Practical Issues in Geriatrics

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“…From these results, four studies related to the management of fragility fractures in Hong Kong were included. [12][13][14][15] The remaining studies were unrelated and excluded. The key pitfalls in the current management of patients with fragility fractures in Hong Kong are the lack of FLS (10%-25% in public hospitals), low prescription rates for osteoporosis on discharge (23% of hip fracture cases), inadequate referral rates for rehabilitation (22% of hip fracture cases), and low follow-up attendance (35.1% of hip fracture cases at 1 year).…”

Section: Pitfalls In Hong Kong's Current Fragility Fracture Managementmentioning

confidence: 99%

“…49 Incorporating the device into multidisciplinary rehabilitation programmes for elderly patients with hip fractures has also been shown to be effective. 13 The FLS programme is able to integrate fall risk assessments with adequate information and treatment for patients to prevent further falls and fractures, especially during the imminent fracture period.…”

Section: Fall Prevention Programmes To Prevent Imminent Fracturesmentioning

confidence: 99%

Secondary prevention of fragility fractures: instrumental role of a fracture liaison service to tackle the risk of imminent fracture

et al. 2019

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The occurrence of fragility fractures is strongly associated with significant morbidity and mortality. Effective recommendations should be set to treat these patients punctually for secondary prevention of fractures and ultimately decrease healthcare costs. The key pitfalls in the current management for patients with fragility fractures are the lack of fracture liaison services, low prescription rates for osteoporosis, inadequate referral for rehabilitation, and low follow-up attendance leading to poor compliance with treatment. Most imminent fractures occur within the first 2 years, and it is therefore important to raise the awareness of fracture risk and provide fracture liaison services to improve management. Fracture liaison services are coordinated and have been shown to be costeffective. These services allow prompt identification of patients with fragility fractures. This leads to appropriate investigations of their bone health and fall risk. Information about and interventions for

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“…In a recent prospective cohort study, multidisciplinary management for elderly patients with hip fractures enhanced functional recovery, prevented secondary fractures and reduced the cost of hip fracture care, and thus relieved the financial burden on society 27) . Nordström et al 28) noted that multidisciplinary management significantly increases physical function and mobility in comparison with conventional care in patients with hip fractures; however, it does not affect the chance of being discharged to one's own home or survival.…”

Section: Rehabilitation During Hospitalizationmentioning

confidence: 99%

Postoperative Rehabilitation after Hip Fracture: A Literature Review

Lee

Kim

2020

Hip & Pelvis

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As the proportion of elderly individuals within the population grows, the incidence of hip fractures increases. Traditionally, orthopedic surgeons used to focus on surgical treatment of hip fractures; however, the field's appreciation for the importance of postoperative rehabilitation has been increasing recently. Many studies have shown that proper rehabilitation after hip fracture surgery can shorten hospital stays and improve clinical outcomes. However, such studies use different methods and published rehabilitation protocols address varying aspects that do not always overlap. Here, we review and summarize the latest guidelines and studies on postoperative rehabilitation of elderly patients with hip fractures.

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Evaluation of a multidisciplinary rehabilitation programme for elderly patients with hip fracture: A prospective cohort study

Abstract: Multi-disciplinary CFFMP is effective, with reduced overall cost, reduced length of hospital stay and reduced secondary fracture rate. The rehabilitation community service favours rehabilitation and improved quality of life of hip fracture patients.

Cited by 26 publications

References 31 publications

How Can We Prevent Falls?

How Can We Prevent Falls?

Secondary prevention of fragility fractures: instrumental role of a fracture liaison service to tackle the risk of imminent fracture

Postoperative Rehabilitation after Hip Fracture: A Literature Review

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