ArticleTherapeutics and clinical risk management2021
Exploring the Effectiveness of PAC Rehabilitation for Elders with Hip Surgery: A Retrospective Study.
Article in Therapeutics and clinical risk management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- Visualized load-bearing-based robot control system improves early function in femoral neck fracture patients: a randomized controlled trial focusing on outcomes after total hip arthroplasty.Journal of orthopaedic surgery and research · 2025Trial
- Functional Outcomes and Quality of Life in Elderly Patients Following Intertrochanteric Femur Fracture: A One-Year Follow-Up Study.Bulletin of emergency and trauma · 2025Article
- Does post acute care reduce the mortality of octogenarian and nonagenarian patients undergoing hip fracture surgery?BMC geriatrics · 2024Article
- Effects of rehabilitation therapy based on exercise prescription on motor function and complications after hip fracture surgery in elderly patients.BMC musculoskeletal disorders · 2023Observational
- Post-acute care for frail older people decreases 90-day emergency room visits, readmissions and mortality: An interventional study.PloS one · 2023Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip fractures are high risk and high-impact events in the elderly population; despite orthopedic hip surgery, the disability and mortality rate remains significant. The National Health Insurance Agency in Taiwan established a fragility fracture PAC rehabilitation program to provide functional recovery for these patients after the surgery. However, the current literature on PAC rehabilitation is outdated, and there is an urgent need for the re-evaluation of the program.
methodsThis is a retrospective cohort study that enrolled 159 patients in the PAC rehabilitation program, followed by hip repair surgery. Outcome measures were the differences in participants' pre- and post-PAC scores in 1) Barthel index, 2) Numerical Rating Scale (NRS), and 3) Harris Hip Scores (HHS) as surrogate indicators of the functional status, followed by the analysis of subgroups, including sex, age, site of the fracture, type of procedure, and the number of comorbidities.
resultsAfter completing PAC rehabilitation, 86.2% of the patients successfully returned to the community with either home or out-patient rehabilitation. The re-admission rate was 3.1% and 3.8% in 14-days and in 30-days follow up, respectively. The difference in pre- and post-Barthel index, NRS, and HHS showed significant improvement (p<0.001), without significant variations between the subgroups. Additionally, the Barthel index showed a positive correlation to HHS and a negative correlation to NRS.
conclusionThis study revealed that the current form of post-surgery fragility fracture PAC program effectively improves functional status, reduces the re-admission rate, and facilitates the patient transition back to the community. The results should improve patients' and physicians' confidence in such a program.
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