Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: a randomized controlled trial with 1-year follow-up
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Objective To investigate the short- and long-term effects of a multidisciplinary postoperative rehabilitation programme in patients with femoral neck fracture. Design and subjects A randomized controlled trial in patients (n = 199) with femoral neck fracture, aged >or= 70 years. Methods The primary outcomes were: living conditions, walking ability and activities of daily living performance on discharge, 4 and 12 months postoperatively. The intervention consisted of staff education, individualized care planning and rehabilitation, active prevention, detection and treatment of postoperative complications. The staff worked in teams to apply comprehensive geriatric assessment, management and rehabilitation. A geriatric team assessed those in the intervention group 4 months postoperatively, in order to detect and treat any complications. The control group followed conventional postoperative routines. Results Despite shorter hospitalization, significantly more people from the intervention group had regained independence in personal activities of daily living performance at the 4- and 12-month follow-ups; odds ratios (95% confidence interval (CI) ) 2.51 (1.00-6.30) and 3.49 (1.31-9.23), respectively. More patients in the intervention group had also regained the ability to walk independently indoors without walking aids by the end of the study period, odds ratio (95% confidence interval) 3.01 (1.18-7.61). Conclusion A multidisciplinary postoperative intervention programme enhances ac…
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A range of positive effects are reported after six to twelve months for nutritional interventions in orthogeriatric patients, e.g. reduced length of hospital stay, improved independence in activities of daily living, improved mobility, reduced in-hospital falls and fall-related injuries, decreased emergency department visits, significantly fewer days of delirium, fewer pressure ulcers, reduced-nut
“A range of positive effects are reported after six to twelve months, e.g.reduced length of hospital stay (55,56), improved independence in activities of daily living (56,192,193), improved mobility (56), reduced in-hospital falls and fall-related injuries (57), decreased emergency department visits (192) significantly fewer days of delirium (55), fewer pressure ulcers (55), reduced nursing home ad”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [57]
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- Authors
- Stenvall, M., Olofsson, B., Nyberg, L., Lundström, M., & Gustafson, Y.
- Affiliations
- Umeå University (SE)
- Luleå University of Technology (SE)
- Venue
- Journal of Rehabilitation Medicine
- Publisher
- Medical Journals Sweden AB
- Published
- 2007
- Volume
- 39
- Issue
- 3
- Pages
- 232-238
- ISSN
- 0001-5555 (ISSN-L)
- OpenAlex
- W1988847766
- Cited by
- 160
- References
- 31
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 8 · 2020: 12 · 2019: 9 · 2018: 15 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 4 · 2013: 15 · 2012: 10
- FWCI
- 9.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Acta Dermato Venereologica (publishedVersion)
- PubMed (publishedVersion)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- Funders
- Vårdalstiftelsen
- Kempe Foundation
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
- Keywords
- femoral neck fracture, hip fracture, postoperative rehabilitation, multidisciplinary rehabilitation, older adults, activities of daily living, mobility (physical function), walking ability, comprehensive geriatric assessment, postoperative complications, employee training, individualized care plans, long-term outcomes
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Female, Femoral Neck Fractures, Follow-Up Studies, Humans, Male, Motor Activity, Patient Care Team, Postoperative Complications, Time Factors, Geriatric Assessment, Walking, Recovery of Function
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