Dataset Information

Associations between post-operative rehabilitation of hip fracture and outcomes: national database analysis (90 characters).

ABSTRACT:

Background

Rehabilitation programmes are used to improve hip fracture outcomes. There is little published trial clinical trial or population-based data on the effects of the type or provider of rehabilitation treatments on hip fracture outcomes. We evaluated the associations of rehabilitation interventions with post-operative hip fracture outcomes.

Methods

Cross-sectional (2013-2015) analysis of data from the English National Hip Fracture Database (NHFD) from all 191 English hospitals treating hip fractures. Of 62,844 NHFD patients, we included 17,708 patients with rehabilitation treatment and 30-day mobility data, and 34,142 patients with rehabilitation treatment and discharge destination data. The intervention was early mobilisation rehabilitation treatments delivered by a physiotherapist (PT, physical therapist in North America) or other clinical staff as identifiable in NHFD. We used ordinal logistic and propensity scoring regression models to adjust for confounding variables including age, sex, pre-fracture mobility, operative delay, and cognitive function and peri-operative risk scores.

Results

In both the adjusted multivariate and propensity-weighted analyses, mobilisation on the day or the day following surgery is associated with better mobility function 30 days after discharge. However patients mobilised by a PT did not have better mobility compared to mobilisation by other professionals. Patients who received a PT assessment were not protected from poorer mobility 30 days after discharge, compared with those who did not receive an assessment. The discharge destination outcome is also better in mobilised than unmobilised patients, whether done by a PT or another health professional, and the difference persists, slightly attenuated, after propensity weighting.

Conclusions

In addition to the type of health professional initiating mobilisation, data on rehabilitation treatment activity and post-operative gait speed is needed to determine optimum rehabilitation dosage and functional outcome. After adjustment patients mobilised by non-PTs did as well as patients mobilised by PTs, suggesting that PTs' current roles in very early rehabilitation should be reconsidered, with a view to redeploying them to more specialised later rehabilitation activity.

SUBMITTER: Su B

PROVIDER: S-EPMC6038238 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

Associations between post-operative rehabilitation of hip fracture and outcomes: national database analysis (90 characters).

Su Bowen B Newson Roger R Soljak Harry H Soljak Michael M

BMC musculoskeletal disorders 20180709 1

<h4>Background</h4>Rehabilitation programmes are used to improve hip fracture outcomes. There is little published trial clinical trial or population-based data on the effects of the type or provider of rehabilitation treatments on hip fracture outcomes. We evaluated the associations of rehabilitation interventions with post-operative hip fracture outcomes.<h4>Methods</h4>Cross-sectional (2013-2015) analysis of data from the English National Hip Fracture Database (NHFD) from all 191 English hospi ...[more]

PMID: 29986698

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Dataset Information

Associations between post-operative rehabilitation of hip fracture and outcomes: national database analysis (90 characters).

Background

Methods

Results

Conclusions

Publications

Associations between post-operative rehabilitation of hip fracture and outcomes: national database analysis (90 characters).

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