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Effects of geriatric interdisciplinary home rehabilitation on independence in activities of daily living in older people with hip fracture: A randomized controlled trial

Archives of Physical Medicine and Rehabilitation Feb 15, 2020

Karlsson A, Lindelöf N, Olofsson B, et al. - Investigators performed a randomized control trial to assess the impacts of early discharge followed by geriatric interdisciplinary home rehabilitation for older people with hip fracture on independence in activities of daily living (ADL) compared with in-hospital geriatric care according to a multifactorial rehabilitation program. They screened 466 people for eligibility, 205 individuals with acute hip fracture, aged 70 years or older, including those with cognitive impairment and those living in residential care facilities, were randomized to intervention or control groups. No significant differences were found in ADL performance between the groups, and they recovered their pre-fracture level of independence in personal and instrumental ADL comparably. The data showed that early discharge followed by geriatric interdisciplinary home rehabilitation occurred in a comparable recovery of independence in ADL at 3 and 12 months as in-hospital geriatric care and rehabilitation in older people with hip fractures.
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