Improved functional outcome after hip fracture is associated with duration of rehabilitation, but not with waiting time for rehabilitation

Tonny Jaeger Pedersen*, Louise Nicole Bie Bogh, Jens Martin Lauritsen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

INTRODUCTION: The aim of this study was to explore the relationship between “waiting time to onset of municipal rehabilitation”, “length of municipal rehabilitation” and the attained level of function four months after the hip fracture. METHODS: Among a consecutive series of 156 patients, the 116 patients who were recommended a municipal rehabilitation sequence after discharge were included. The exposures were waiting time in days and duration in hours of the municipal rehabilitation. The outcome was lower-extremity functional level as measured with the Short Physical Performance Battery. Effects were assessed with non-parametric gamma coefficients. RESULTS: The median waiting time to initiation of rehabilitation was ten days. A weak and insignificant correlation was observed between waiting time and outcome at four months, and a statistically significant correlation was recorded between duration of municipal rehabilitation and outcome, also at four months. No marked differences in these results were found when subgrouped by pre-fracture level of function as assessed with the Barthel-20 index. CONCLUSIONS: Waiting times from hospital discharge to initiation of municipal rehabilitation seems not to correlate with functional level four months after the hip fracture. In contrast, the amount of municipal rehabilitation time does correlate with a better functional level four months after the hip fracture. Furthermore, large-sample studies are warranted to clarify this relationship.

Original languageEnglish
Article numberA5348
JournalDanish Medical Journal
Volume64
Issue number4
Number of pages5
ISSN2245-1919
Publication statusPublished - Apr 2017

Keywords

  • Aged, 80 and over
  • Denmark
  • Female
  • Hip Fractures/rehabilitation
  • Humans
  • Male
  • Outcome and Process Assessment, Health Care/statistics & numerical data
  • Recovery of Function
  • Statistics, Nonparametric
  • Time Factors
  • Time-to-Treatment/statistics & numerical data

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