Evidence map›Paper›PMID 11061730›Full record

Trial reportBMJ (Clinical research ed.)2000

Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia.

T M Huusko, P Karppi, V Avikainen, H Kautiainen, R Sulkava

Abstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  4. Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021
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  13. The effect of care pathways for hip fractures: a systematic overview of secondary studies.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013
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  18. Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2002
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

T M HuuskoDepartment of Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, 40930 Kinkomaa, Finland. Tiina.Huusko@uku.fi
P Karppi
V Avikainen
H Kautiainen
R Sulkava

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of intensive geriatric rehabilitation on demented patients with hip fracture.

designPreplanned subanalysis of randomised intervention study. Settting: Jyväskylä Central Hospital, Finland.

participants243 independently living patients aged 65 years or older admitted to hospital with hip fracture.

interventionAfter surgery patients in the intervention group (n=120) were referred to the geriatric ward whereas those in the control group were discharged to local hospitals.

main outcome measuresLength of hospital stay, mortality, and place of residence three months and one year after surgery for hip fracture.

resultsThe median length of hospital stay of hip fracture patients with moderate dementia (mini mental state examination score 12-17) was 47 days in the intervention group (n=24) and 147 days in the control group (n=12, P=0.04). The corresponding figures for patients with mild dementia (score 18-23) were 29 days in the intervention group (n=35) and 46.5 days in the control group (n=42, P=0.002). Three months after the operation, in the intervention group 91% (32) of the patients with mild dementia and 63% (15) of the patients with moderate dementia were living independently. In the control group, the corresponding figures were 67% (28) and 17% (2). There were no significant differences in mortality or in the lengths of hospital stay of severely demented patients and patients with normal mini mental state examination scores.

conclusionsHip fracture patients with mild or moderate dementia can often return to the community if they are provided with active geriatric rehabilitation.

Indexed as

AgedAged, 80 and overDementiaEarly AmbulationFemaleFollow-Up StudiesHip FracturesHumansLength of StayMaleTreatment Outcome

Identifiers

PMID11061730
PMCPMC27517

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.