Two-year effects of an interdisciplinary intervention on recovery following hip fracture in older Taiwanese with cognitive impairment
Resource
Int. J. Geriatr. Psychiatr., 27(5), 529-538
Journal
International Journal of Geriatric Psychiatry
Journal Volume
27
Journal Issue
5
Pages
529-538
Date Issued
2012
Author(s)
Shyu, Yea-Ing L.
Chen, Min-Chi
Liang, Jersey
Cheng, Huey-Shinn
Wu, Chi-Chuan
Su, Juin-Yih
Chou, Shih-Wei
Abstract
Objective This article aims to evaluate the long-term effects of an interdisciplinary intervention program on cognitively impaired older persons after hip fracture in Taiwan. Methods Of 160 subjects randomly assigned to control (n = 81) and intervention (n = 79) groups, 24 (29.6%) and 27 (34.2%) were cognitively impaired in the control and intervention groups, respectively, and outcomes were followed for 2 years after discharge. Results Among cognitively impaired subjects, more in the intervention group recovered their previous walking ability (odds ratio [OR] = 3.49; confidence interval [CI] = 1.64 to 7.42), activities of daily life performance (β = 18.59; p = 0.0002), and more were readmitted to the hospital (OR = 4.44, CI = 1.53 to 12.89) than those in the control group during the first 2 years following discharge. Among subjects without cognitive impairment, more in the intervention group recovered their previous walking ability (OR = 2.6; CI = 1.33 to 5.07), had fewer falls (OR = 0.47; CI = 0.25 to 0.86), and made fewer emergency room visits (OR = 0.33; CI = 0.11 to 0.97) during the first 2 years following discharge than those in the control group. Conclusions Cognitively impaired individuals benefited from our interdisciplinary intervention by improving their walking ability and physical function during the first 2 years following discharge. Specific strategies on fall prevention following hip fracture need to be further developed for cognitively impaired individuals. Copyright ? 2011 John Wiley & Sons, Ltd.
Subjects
cognitive impairment; hip fracture; interdisciplinary intervention; intervention effects; randomized clinical trial
SDGs
Other Subjects
aged; article; cognitive defect; controlled study; convalescence; emergency care; female; health program; hip fracture; hospital readmission; human; interdisciplinary communication; major clinical study; male; senescence; Taiwan; walking; Accidental Falls; Activities of Daily Living; Aged; Aged, 80 and over; Cognition Disorders; Emergency Service, Hospital; Female; Follow-Up Studies; Hip Fractures; Humans; Intervention Studies; Male; Middle Aged; Patient Care Team; Taiwan; Walking
Type
journal article
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