Enhanced interdisciplinary care improves self-care ability and decreases emergency department visits for older Taiwanese patients over 2 years after hip-fracture surgery: A randomised controlled trial

Shyu, Yea‐Ing Lotus; Liang, Jersey; Tseng, Ming Yueh; Li, Hsiao Juan; Wu, Chin‐Chen; Cheng, Huey Shinn; Chou, Shih‐Wei; Chen, Ching Yen; Yang, Ching Tzu

doi:10.1016/j.ijnurstu.2015.12.005

Cited by 24 publications

(49 citation statements)

References 22 publications

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“…Patients in the comprehensive care group had a three times higher likelihood of recovering to complete independence in basic activities of daily living (ADL) until six months follow up [223]. These effects faded until twelve months follow up [223], but improved self-care ability and decreased emergency department visits were reported up to two years after hip-fracture surgery [228]. Moreover, better healthrelated quality of life [224] and a lower risk of malnutrition [223] after six and twelve months were observed.…”

Section: Commentarymentioning

confidence: 99%

ESPEN guideline on clinical nutrition and hydration in geriatrics

et al. 2019

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Section: Commentarymentioning

confidence: 99%

ESPEN guideline on clinical nutrition and hydration in geriatrics

et al. 2019

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“…These caregivers had to care for patients who met the following criteria: (a) ≥60 years old (Shyu et al, 2016); (b) received surgery for internal hip fixation or arthroplasty; (c) with at least mild cognitive impairment (Chinese‐version Mini‐Mental State Examination [CMMSE] score ≤ 24 for educated and ≤ 20 for illiterate patients; Chiu, Lee, Chung, & Kwong, 1994; Katzman et al, 1988) at admission or before discharge, or cognitively intact; and (d) living in a community of northern Taiwan.…”

Section: Methodsmentioning

confidence: 99%

Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

Shen

Yang

et al. 2020

J of Nursing Scholarship

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Contributed equally to this work. AbstractPurpose: This study was undertaken to develop a theoretical framework explaining family caregiving processes for older persons with cognitive impairment recovering from hip fracture surgery. Design and Methods: In this grounded theory study, data were collected in audio-recorded face-to-face interviews with 21 family caregivers. Among these caregivers, 14 cared for hip-fractured persons with cognitive impairment, and seven cared for those without cognitive impairment. Caregivers were interviewed five times after patients' discharge: at 1 week and at 1, 3, 6, and 12 months. Data were analyzed by constant comparative analysis. Findings: The core category explaining the family caregiving process for hip-fractured persons with cognitive impairment was "resuming normal life during drip-like recovery." This category captures the slowness of the recovery process, as slow as dripping water. During the early postoperative period, caregivers attempted to gain control of the postoperative situation, using various maintenance and improvement strategies to deal with the chaos in individuals and the family and to protect hip-fractured persons with cognitive impairment from further harm. The goal of recovery was to get back to their original life. Conclusions: Family caregivers of hip-fractured older persons with cognitive impairment needed to deal with more complex chaotic situations, exerted more efforts to administer safety measures, and required more time to achieve a stable life pattern. Clinical Relevance: Since postoperative recovery was perceived as extremely slow, family caregivers of hip-fractured older persons with cognitive impairment should be patient regarding recovery and be informed before hospital discharge of different strategies to resume normal life during postoperative recovery.

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“…Patients with hip fractures may need various clinical interventions and multi-disciplinary rehabilitation for up to two years to enhance their physical function. Shyu et al (2016) collected systematic review papers and reported that health outcomes could be significantly improved after hip fractures by interdisciplinary care [ 9 ]. Prognostic factors for the outcome after hip fractures are important, but can be obtained only by analyzing data from hospital stays.…”

Section: Introductionmentioning

confidence: 99%

The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study

et al. 2018

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Hip fractures are a major problem to elder population, but subsequent morbidity is unclear about environmental factors and socioeconomic conditions. The study aims to investigate the incidence of hip fractures treated by the surgery; to compare the sequelae and temporal trends of hip fractures; to evaluate the seasonal effects in the subsequent short-term and long-term morbidities after hip fractures. A cohort study design is conducted using national health research datasets between 2000 and 2010. The ICD-9-CM diagnostic codes were utilized to investigate the incidence of hip fractures and the corresponding treatments. Hierarchical modeling was used to analyze the factors associated with various types of hip fractures. The results indicated that females had a lower incidence in the 30–44 age group, but a significantly higher incidence than males among those aged 60 years or older (adjusted rates 232.1 vs. 100.3 per 100,000 persons, p<0.001). The incidence of hip fractures in the low-income group showed no significant difference compared to that in the general population. There was a temporal trend of a 8.6% increase in the incidence of all types of hip fractures over the period of 2000–2010. A summer-winter variation is observed among the elderly. Hip fractures and subsequent morbidity are increasing in Taiwan’s aging society. Older age, female gender, and time periods were independent risk factors for subsequent morbidities after surgical treatment. The result of this study is useful to the healthcare policy makers and to raise the public awareness of hip fractures.

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Enhanced interdisciplinary care improves self-care ability and decreases emergency department visits for older Taiwanese patients over 2 years after hip-fracture surgery: A randomised controlled trial

Cited by 24 publications

References 22 publications

ESPEN guideline on clinical nutrition and hydration in geriatrics

ESPEN guideline on clinical nutrition and hydration in geriatrics

Resuming Normal Life as a Family Caregiver During Drip‐Like Recovery of Older Persons With Cognitive Impairment Recovering From Hip Surgery: A Grounded Theory

The incidence and factors of hip fractures and subsequent morbidity in Taiwan: An 11-year population-based cohort study

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