Does Mobility of the Elderly with Hip Fractures Improve at One Year Following Surgery? A 5-year Prospective Survey

Pourabbas, Bahman; Emami, Mohammad Jafar; Vosoughi, Amir Reza; Namazi, Hamid

doi:10.5604/15093492.1220822

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…The current review included a final number of 24 studies. The majority (71%) of those studies were conducted in Europe and North America, [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] 16% in Asia [39][40][41] and 13% in Australia. [42][43][44] The study designs consisted of RCTs (n=16), 23-27 29 30 32 35 36 38 41 43-46 quasi-RCTs (n=2), 28 42 feasibility RCTs (n=2), 37 39 prospective cohort studies (n=3) 33 34 40 and observational pre-post (n=1).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Health and social interventions to restore physical function of older adults post-hip fracture: a scoping review

et al. 2021

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ObjectivesDespite inpatient rehabilitation, many older adults post-hip fracture have difficulty returning to their prefracture levels of function and activity. This scoping review aims to identify interventions for community-dwelling older adults discharged from inpatient rehabilitation and examine the function and activity outcomes associated with these interventions.DesignThis scoping review followed Arksey and O’Malley’s five-stage framework.Data sourcesWe searched MEDLINE, CINAHL, PsycINFO, EMBASE and Ageline electronic databases for English-language articles published between January 1946 and January 2020.Eligibility criteriaWe included studies with health and social interventions involving community-dwelling older adults and their caregivers after hip fracture and inpatient rehabilitation. The interventions were selected if initiated within 60 days post-hip fracture surgery.Data extraction and synthesisTwo independent reviewers screened abstracts and full texts and extracted the data based on the inclusion criteria. A third reviewer adjudicated any disagreement and collated the extracted data.ResultsOf the 24 studies included in the review, most studies (79%) used exercise-based interventions, over half (63%) included activities of daily living training and/or home assessment and environment modification as intervention components, and three studies used social intervention components. Over half of the interventions (58%) were initiated in the inpatient setting and physiotherapists provided 83% of the interventions. Only seven studies (29%) involved tailored interventions based on the older adults’ unique needs and progress in exercise training. Six studies (25%) enrolled patients with cognitive impairment, and only one study examined caregiver-related outcomes. Exercise-based interventions led to improved function and activity outcomes. 29 different outcome measures were reported.ConclusionWhile exercise-based multicomponent interventions have evidence for improving outcomes in this population, there is a paucity of studies, including social interventions. Further, studies with standardised outcome measures are needed, particularly focusing on supporting caregivers and the recovery of older adults with cognitive impairment.

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