Association between additional non-weekday rehabilitation and discharge function after hip fracture, modified by age and admission function: a retrospective study - 09/04/26
, Shinji Takahashi b, Ryota Kawai a, Ayumi Shintani aHighlights |
• | Additional non-weekday rehabilitation is associated with higher discharge function. |
• | Additional non-weekday rehabilitation is beneficial for older people. |
• | Additional non-weekday rehabilitation is helpful for those with lower function. |
Abstract |
Background |
Hip fractures are a significant health concern, particularly among elderly individuals. Postoperative rehabilitation, including additional non-weekday rehabilitation, plays a crucial role in improving functional outcomes.
Objectives |
To explore the factors that modify the association between additional non-weekday rehabilitation and the activities of daily living (ADL) levels at discharge in people with hip fractures.
Methods |
A retrospective study was conducted using administrative claims data to analyze people aged ≥ 60 years with hip fractures who underwent surgery. The primary outcome was the Barthel Index as ADL scores at hospital discharge. Multivariable non-linear regression models were used to assess the modification of the association between additional non-weekday rehabilitation and ADL scores by different characteristics such as age, body mass index, ADL scores at admission, dementia, and surgery the day before or not before the non-weekday.
Results |
A total of 77 947 people were included. People who received additional non-weekday rehabilitation had significantly better ADL scores at discharge than those who received weekday-only rehabilitation. The association between additional non-weekday rehabilitation and better ADL scores at hospital discharge was greater in older people (mean differences between the rehabilitation groups [95% CI] at ages 60 were 2.53 [0.50–4.56], and at ages 90 were 5.47 [4.89–6.05]), and in those with lower ADL scores at admission. Furthermore, people without dementia had significantly better ADL scores at discharge than those with dementia, and people who underwent additional non-weekday rehabilitation had better ADL scores at discharge than those who underwent weekday-only rehabilitation, regardless of dementia.
Conclusions |
Tailoring rehabilitation strategies for individual characteristics, particularly age and baseline functional status, may optimize outcomes in people with hip fractures. Additional non-weekday rehabilitation may be particularly beneficial for older people and those with lower ADL scores at admission.
Le texte complet de cet article est disponible en PDF.Keywords : Hip fracture, Weekend rehabilitation, Activities of daily living
Abbreviations : ADL, BMI, CI, DPC/PDPS, ICD-10, IQR, MCID, MDV, SHR, STROBE, VIF
Plan
Vol 69 - N° 2
Article 102035- mars 2026 Retour au numéro
Article précédent
- The effectiveness of manual therapy in people with chronic non-specific low back pain: an umbrella review with meta-analysis
- Orlando Conde-Vázquez, José García-Cancela, Santiago Navarro-Ledesma, Leo Pruimboom
- Deficit of the thenar muscles does not contribute to outcomes after intra-articular botulinum neurotoxin-A for base-of-thumb osteoarthritis
- Francesca Milone, Raphaël Campagna, Henri Guerini, Camille Daste, Antoine Feydy, Marie-Martine Lefèvre-Colau, François Rannou, Christelle Nguyen
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?