A Rehabilitation-Based Multidisciplinary Care Model Reduces Hip Fracture Mortality in Older Adults

Chun-Feng Huang; Po-Jung Pan; Yi-Hung Chiang; Shung-Haur Yang

doi:10.2147/JMDH.S331136

A Rehabilitation-Based Multidisciplinary Care Model Reduces Hip Fracture Mortality in Older Adults

J Multidiscip Healthc. 2021 Sep 29:14:2741-2747. doi: 10.2147/JMDH.S331136. eCollection 2021.

Authors

Chun-Feng Huang^{1

2}, Po-Jung Pan³, Yi-Hung Chiang⁴, Shung-Haur Yang⁵

Affiliations

¹ Department of Family Medicine, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C).
² Department of Leisure Services Management, Chaoyang University of Technology, Taichung, Taiwan (R.O.C).
³ Department of Physical Medicine and Rehabilitation, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C).
⁴ Department of Orthopedics, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C).
⁵ Department of Surgery, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C).

Abstract

Purpose: In older adults, the one-year mortality rate after experiencing a hip fracture ranges between 8% and 36%. The purpose of this study was to look at the efficacy of rehabilitation-based multidisciplinary care for older individuals who had hip fractures.

Patients and methods: The study included 185 people (aged 65 and over) with a history of hip fracture surgery between February 2014 and March 2017. A survey was conducted one month and six months following the operation to assess the recovery of 93 individuals who were part of a rehabilitation-based multidisciplinary care program and 92 patients who were getting standard therapy with surgery and unsupervised physical therapy.

Results: Physical activity, gait, balance evaluation, and depression scale ratings all had statistical significance (P < 0.05) after participants received rehabilitation-based care services from multidisciplinary medical professionals. Furthermore, the refracture and one-year mortality rates in this rehabilitation-based multidisciplinary care model were lower than in the groups getting standard therapy.

Conclusion: The research indicates the efficacy of a multidisciplinary rehabilitation strategy provided by a collaborative medical team to older individuals with hip fractures.

Keywords: hip fracture; multidisciplinary care; osteoporosis; rehabilitation.