Continuity of care for patients with hip fracture after discharge from rehabilitation facility

Continuity of care for patients with hip fracture after discharge from rehabilitation facility

Authors

  • Diego Contro School of Specialization in Physical and Rehabilitation Medicine, University of Milan
  • Sara Elli School of Specialization in Physical and Rehabilitation Medicine, University of Milan
  • SIlvana Castaldi Università degli Studi di Milano http://orcid.org/0000-0003-1716-6624
  • Marco Formili Department of Clinical Sciences and Community Health, University of Milan, Italy
  • Ilaria Ardoino Department of Clinical Sciences and Community Health, University of Milan, Italy
  • Antonello Valerio Caserta UOC Physical and Rehabilitation Medicine, Traumatology Orthopaedic Specialist Center, Gaetano Pini – CTO, Milan
  • Lorenzo Panella UOC Physical and Rehabilitation Medicine, Traumatology Orthopaedic Specialist Center, Gaetano Pini – CTO, Milan

Keywords:

Keywords: hip fracture; rehabilitation outcomes; post-acute care; hip fracture and surgery

Abstract

Background and aims of the work: Hip fracture is a dramatic event especially in the elderly and the return to the pre-fracture functional and social state is often difficult to achieve. In the post-acute, the intensive rehabilitation period aims to recover as much autonomy as possible to these patients, but not always its duration is sufficient to ensure an effective and lasting result in returning home, hence the need for additional rehabilitation services. Our aim was to evaluate the use of additional rehabilitation services by patients who underwent hip fracture after an intensive rehabilitation treatment period performed at our hospital. Methods: This is a retrospective cohort study. We involved patients aged 45 years and older, admitted at our intensive rehabilitation, who joined a rehabilitation program for a hip fracture. Results: Our results showed how the use of further physiotherapy is associated with the type of surgical intervention and with higher Cumulative Illness Rating Scale CIRS scores. Similarly, the loss of autonomy is associated with the type of intervention, the increase in CIRS and the duration of the physiotherapy, and negatively associated with the duration of each session. The re-hospitalizations for each cause is positively associated with CIRS and negatively associated with the further use of physiotherapy. Conclusions: Our conclusion is that rehabilitation needs a personalized schedule, because the real discriminating factor in the management of frail patients should therefore be the quality, and not the quantity (i.e. longer session), of the rehabilitative intervention prescribed.

Author Biographies

SIlvana Castaldi, Università degli Studi di Milano

professore associato Dipartimento di Scienze Biomediche per la Salute

 

Antonello Valerio Caserta, UOC Physical and Rehabilitation Medicine, Traumatology Orthopaedic Specialist Center, Gaetano Pini – CTO, Milan

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Published

06-09-2019

Issue

Section

HEALTH SYSTEM RESEARCH (Editor: Carlo Signorelli)

How to Cite

1.
Continuity of care for patients with hip fracture after discharge from rehabilitation facility. Acta Biomed [Internet]. 2019 Sep. 6 [cited 2024 Mar. 29];90(3):385-93. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8872