Journal of Multidisciplinary Healthcare (Sep 2021)
A Rehabilitation-Based Multidisciplinary Care Model Reduces Hip Fracture Mortality in Older Adults
Abstract
Chun-Feng Huang,1,2 Po-Jung Pan,3 Yi-Hung Chiang,4 Shung-Haur Yang5 1Department of Family Medicine, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C); 2Department of Leisure Services Management, Chaoyang University of Technology, Taichung, Taiwan (R.O.C); 3Department of Physical Medicine and Rehabilitation, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C); 4Department of Orthopedics, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C); 5Department of Surgery, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan (R.O.C)Correspondence: Chun-Feng HuangDepartment of Family Medicine, National Yang Ming Chiao Tung University Hospital, No. 152, Xinmin Road, Yilan, Yilan County, 26042, Taiwan (R.O.C)Tel +886-3-932-5192Fax +886-3-9372119Email [email protected]: 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
