Support was provided by the National Health Research Institute, Taiwan and Chang Gung Memorial Hospital, Taiwan.
A Pilot Investigation of the Short-Term Effects of an Interdisciplinary Intervention Program on Elderly Patients with Hip Fracture in Taiwan
Article first published online: 15 MAR 2005
Journal of the American Geriatrics Society
Volume 53, Issue 5, pages 811–818, May 2005
How to Cite
Shyu, Y.-I. L., Liang, J., Wu, C.-C., Su, J.-Y., Cheng, H.-S., Chou, S.-W. and Yang, C.-T. (2005), A Pilot Investigation of the Short-Term Effects of an Interdisciplinary Intervention Program on Elderly Patients with Hip Fracture in Taiwan. Journal of the American Geriatrics Society, 53: 811–818. doi: 10.1111/j.1532-5415.2005.53253.x
- Issue published online: 4 MAY 2005
- Article first published online: 15 MAR 2005
- interdisciplinary intervention;
- hip fracture;
- older people;
- health-related quality of life;
- geriatric depression
Objectives: To evaluate an interdisciplinary intervention program for older people with hip fracture in Taiwan.
Design: Randomized experimental design.
Setting: A 3,800-bed medical center in northern Taiwan.
Participants: Elderly patients with hip fracture (N=137) were randomly assigned to an experimental (n=68) or control (n=69) group.
Intervention: An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning.
Measurements: Demographic and outcome variables were measured. Outcome variables included service utilization, clinical outcomes, self-care abilities, health-related quality-of-life (HRQOL) outcomes, and depressive symptoms.
Results: Subjects in the experimental group improved significantly more than those in the control group in the following outcomes: ratio of hip flexion 1 month after discharge (P=.02), recovery of previous walking ability at 1 month (P=.04) and 3 months (P=.001) after discharge, and activities of daily living at 1 month (P=.01) and 2 months (P=.001) after discharge. Three months after discharge, the experimental group showed significant improvement in peak force of the fractured limb's quadriceps (P=.04) and the following health outcomes: bodily pain (P=.03), vitality (P<.001), mental health (P=.02), physical function (P< .001), and role physical (P=.006). They also had fewer depressive symptoms (P=.008) 3 months after discharge.
Conclusion: This intervention program may benefit older people with hip fractures in Taiwan by improving their clinical outcomes, self-care abilities, and HRQOL and by decreasing depressive symptoms within 3 months after discharge.