Evidence map›Paper›PMID 30064264›Full record

Trial reportClinical rehabilitation2019

Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial.

Monica Berggren, Åsa Karlsson, Nina Lindelöf, Undis Englund, Birgitta Olofsson, Peter Nordström, Yngve Gustafson, Michael Stenvall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 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

29 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Interventions for improving mobility after hip fracture surgery in adults.The Cochrane database of systematic reviews · 2022
    Pooled it
  7. Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021
    Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Increasing mobility while in hospital after hip fracture: even the best evidence may not translate to all national health services.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Review
  13. Article
  14. Article
  15. Article
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  18. A National Analysis of Discharge Disposition in Older Adults with Burns-Estimating the Likelihood of Independence at Discharge.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  19. Article
  20. Article
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

8 authors.

Monica Berggren1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0001-5529-0648
Åsa Karlsson1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Nina Lindelöf1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Undis Englund1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Birgitta Olofsson3 Orthopaedics, Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Peter Nordström1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Yngve Gustafson1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
Michael Stenvall1 Geriatric Medicine, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.

Funding

Gender Differences in Responses to Caffeine in Children and AdolescentsR01DA030386 · NIDA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI TEMPLE, JENNIFER L · 2011 to 2015
$1.7M
NIDA NIH HHS R01 DA030386
6 · The paper itself

Abstract

objective: This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation.

design: Randomized controlled trial.

setting: Geriatric department, participants' residential care facilities, and ordinary housing. SUBJECTS:: Individuals aged ⩾70 years with acute hip fracture ( n = 205) were included.

intervention: Geriatric interdisciplinary home rehabilitation was individually designed and aimed at early discharge with the intention to prevent, detect, and treat complications after discharge. MAIN MEASURES:: Complications, readmissions, and days spent in hospital were registered from patients' digital records and interviews conducted during hospitalization and at 3- and 12-month follow-up visits.

results: No significant difference in outcomes was observed. Between discharge and the 12-month follow-up, among participants in the geriatric interdisciplinary home rehabilitation group ( n = 106) and control group ( n = 93), 57 (53.8%) and 44 (47.3%) had complications ( P = 0.443), 46 (43.4%) and 38 (40.9%) fell ( P = 0.828), and 38 (35.8%) and 27 (29.0%) were readmitted to hospital ( P = 0.383); the median total days spent in hospital were 11.5 and 11.0 ( P = 0.353), respectively.

conclusion: Geriatric interdisciplinary home rehabilitation for older individuals following hip fracture resulted in similar proportions of complications, readmissions, and total days spent in hospital after discharge compared with conventional geriatric care and rehabilitation.

Indexed as

Health Services for the AgedHome Care ServicesPatient ReadmissionActivities of Daily LivingAgedAged, 80 and overFemaleHip FracturesHumansLength of StayMaleMiddle AgedPatient Care TeamPostoperative ComplicationsFallship fracturehome rehabilitationrandomized controlled trial

Identifiers

PMID30064264
PMCPMC6311618

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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.