Rehabilitation After Hip Fracture in the Elderly

Costs of hip fracture: Rehabilitation of 180 patients in primary health care

“…In 1970, the nonweight-bearing period totally ceased, and hospitalization was further reduced. At the end of the 1970s, a rehabilitation program in primary care was worked out (Ceder 1980). Since 1985, the rehabilitation program has been widely used among primary health care centers in the catchment area of Lund University Hospital.…”

“…The rehabilitation scheme has been presented elsewhere (Ceder 1980, Jamlo et al 1984. All the surviving patients were visited in their own home at 1,2, and 4 months postoperatively by primary health care personnel, usually the district physiotherapists.…”

Survival experience of aged hip fracture patients.

“…35 Moreover, most previous reports do not differentiate the mortality experience of individuals residing in nursing homes or other long-term care institutions at the time of fracture from that of community dwelling patients, 1,3,[5][6][7][8][9][10][11]13,[15][16][17]19,20,22,24,25,31 and numerous studies' . 2,5,6,8,9,11,13,17,[19][20][21][22][23]31,32,36,37 include hip fracture cases younger than age 55 for whom the cause of fracture is often severe trauma and for whom the prognosis of recovery is generally excellent.3 '24,25,37 The present study provides more current information on the survival experience of aged hip fracture patients treated in the United States, and residing in the community at the time of their fracture, and determines at three, six, and 12 months following hip fracture the relative risk of mortality associated with selected demographic and medical indicators.…”

Differentiated Care of hip Fracture in the Elderly:Mean Hospital Days and Results of Rehabilitation

“…For the purpose of making a good guess at a realistic rehabilitation goal, we have found the 2-week mobility score more useful than the assessment of the patient's prefracture status. By recording the mobility score early rather than late, time is gained for improvement of the social environment to which the patient will eventually return; patients returning home need increased domestic help (Ceder et al 1979). In fact, studies in progress (Ceder et al) suggest that in Sweden, at present, it is a realistic goal to discharge about 75 per cent of patients with a fractured hip directly to their own homes; another 10 per cent can be rehabilitated to home status after temporary institutionalization.…”

“…Mobility indoors was graded in the 1973 series of patients as follows: patients confined to bed or to a wheelchair, or requiring support by another individual, scored 0 points; walking frame, 2 points; rollator, 3 points; quatraped, 4 points; walking-stick, 5 points; and requiring no support, 6 points (Ceder et al 1979). Mobility before fracture was assessed by information from the patients, relatives or from nursing home personnel.…”