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Intensive geriatric rehabilitation of hip fracture patients: a randomized, controlled trial
Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R
Acta Orthopaedica Scandinavica 2002;73(4):425-431
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

We determined the effect of geriatric rehabilitation of hip fracture patients on mortality, length of hospital stay, and functional recovery. In a randomized, controlled intervention study, 243 community dwelling hip fracture patients over 64 years of age were randomly assigned to 2 rehabilitation groups. The intervention group (n = 120) was referred to a geriatric ward for team rehabilitation, and the controls (n = 123) to local hospital wards for standard care. The median length of total hospital stay after a hip fracture operation was 34 (95% CI 28 to 38) days in the intervention group and 42 (95% CI 35 to 48) days in the control group (p = 0.05). The intervention group recovered instrumental activities of daily living faster (p = 0.05). Direct costs of medical care during the first year did not differ remarkably.

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