Pre-discharge rehabilitation after hip surgery reduces 30-day readmissions in older adults: National Health Insurance Service–Senior Cohort (2007–2012)

Bu, N; Kim, Sanghoek; Choi, Hyeon‐Son; Kim, B.S.; Won, Chang Won

doi:10.1016/j.eurger.2017.07.015

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…Positive outcomes of rehabilitation on older individuals’ activities of daily living and quality of life have been shown in different settings and cultural backgrounds [ 7 – 9 ]. Early physical rehabilitation during hospitalization led to shorter stay in acute geriatric wards, as well as reduced readmission rate in orthopedic surgery departments [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Utilization of medical rehabilitation services among older Poles: results of the PolSenior study

et al. 2018

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BackgroundRehabilitation tailored to older adults’ needs might improve their functional performance and quality of life, as well as increase social participation. The aim of the study was to evaluate the use of medical rehabilitation services among older Poles in relation to socio-economic and health-related determinants.Materials and methodsData regarding medical rehabilitation were obtained from the nationwide, multidisciplinary PolSenior project (2007–2012) conducted on representative sample of 4813 respondents (48.3% women) aged 65+ years. Socio-economic status, physical functioning, falls, chronic pain, and formal disability occurrence, as well as self-rated health were accounted for.ResultsOne in six respondents (18.9% women vs. 15.8% men, p < 0.005) underwent medical rehabilitation during 12 months prior to the survey. Respondents mostly received electrotherapy or light radiation therapy (61.3%). Multivariate logistic regression analysis revealed that women aged 80+ years and men aged 90+ years had a significantly lower chance of using rehabilitation services compared to the youngest study participants (65–69 y.o.). City dwellers used rehabilitation services nearly twice as frequently as rural dwellers. Respondents with university education level were most likely to take part in these services. Dependence in IADL decreased participation in medical rehabilitation, while formal disability and chronic pain promoted utilization of rehabilitation services.ConclusionsYounger age, city dwelling, higher education, functional independence, formal disability certificate, and chronic pain increased participation in medical rehabilitation. Such results of the study should be considered in planning actions towards reducing health inequalities at the national level and promoting health and well-being among older adults.

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Section: Introductionmentioning

confidence: 99%

Utilization of medical rehabilitation services among older Poles: results of the PolSenior study

et al. 2018

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Comparative outcomes of inpatient fragility fracture intensive rehabilitation management (FIRM) after hip fracture in sarcopenic and non-sarcopenic patients: a prospective observational study

et al. 2018

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Cohort Profile: National health insurance service-senior (NHIS-senior) cohort in Korea

Kim

Yoon

et al. 2019

BMJ Open

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PurposeThe National Health Insurance Service (NHIS)-Senior was set up to provide high-quality longitudinal data that can be used to explore various aspects of changes in the socio-economical and health status of older adults, to predict risk factors and to investigate their health outcomes.ParticipantsThe NHIS-Senior cohort, a Korean nationwide retrospective administrative data cohort, is composed of older adults aged 60 years and over in 2002. It consists of 558 147 people selected by 10% simple random sampling method from a total of 5.5 million subjects aged 60+ in the National Health Information Database. The cohort was followed up through 2015 for all subjects, except for those who were deceased.Findings to dateThe healthcare utilisation and admission rates were the highest for acute upper respiratory infections and influenza (75.2%). The age-standardised (defined with reference to the world standard population) mortality rate for 10 years (through 2012) was 4333 per 100 000 person-years. Malignant neoplasms were the most common cause of death in both sexes (1032.1 per 100 000 person-years for men, 376.7 per 100 000 person-years for women). A total of 34 483 individuals applied for long-term care service in 2008, of whom 17.9% were assessed as grade 1, meaning that they were completely dependent on the help of another person to live daily life.Future plansThe data are provided for the purposes of policy and academic research under the Act on Promotion of the Provision and Use of Public Data in Korea. The NHIS-Senior cohort data are only available for Korean researchers at the moment, but it is possible for researchers outside the country to gain access to the data by conducting a joint study with a Korean researcher. The cohort will be maintained and continuously updated by the NHIS.

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Pre-discharge rehabilitation after hip surgery reduces 30-day readmissions in older adults: National Health Insurance Service–Senior Cohort (2007–2012)

Cited by 3 publications

References 18 publications

Utilization of medical rehabilitation services among older Poles: results of the PolSenior study

Utilization of medical rehabilitation services among older Poles: results of the PolSenior study

Comparative outcomes of inpatient fragility fracture intensive rehabilitation management (FIRM) after hip fracture in sarcopenic and non-sarcopenic patients: a prospective observational study

Cohort Profile: National health insurance service-senior (NHIS-senior) cohort in Korea

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