Cristin-resultat-ID: 1911545
Sist endret: 11. januar 2022, 15:08
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

Orthogeriatrics prevents functional decline in hip fracture patients: report from two randomized controlled trials

Bidragsytere:
  • Shams Dakhil
  • Pernille Thingstad
  • Frede Frihagen
  • Lars Gunnar Johnsen
  • Stian Lydersen
  • Eva Skovlund
  • mfl.

Tidsskrift

BMC Geriatrics
ISSN 1471-2318
e-ISSN 1471-2318
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Volum: 21
Hefte: 208
Open Access

Importkilder

Scopus-ID: 2-s2.0-85103402548

Beskrivelse Beskrivelse

Tittel

Orthogeriatrics prevents functional decline in hip fracture patients: report from two randomized controlled trials

Sammendrag

Background The incidence of hip fractures are expected to increase in the following years. Hip fracture patients have in addition to their fracture often complex medical problems, which constitute a substantial burden on society and health care systems. It is thus important to optimize the treatment of these patients to reduce negative outcomes. The aim of this study was to assess the effect of comprehensive orthogeriatric care (CGC) on basic and instrumental activities of daily living (B-ADL and I-ADL). Methods This study is based on two randomized controlled trials; the Oslo Orthogeriatric Trial and the Trondheim Hip Fracture Trial. The two studies were planned in concert, and data were pooled and analyzed using linear mixed models. I-ADL function was assessed by the Nottingham Extended ADL Scale (NEADL) and B-ADL by the Barthel ADL (BADL) at four and twelve months after surgery. Results Seven hundred twenty-six patients were included in the combined database, of which 365 patients received OC and 361 patients received CGC. For the primary endpoint, I-ADL at four months was better in the CGC group, with a between-group difference of 3.56 points (95 % CI 0.93 to 6.20, p = 0.008). The between-group difference at 12 months was 4.28 points (95 % CI 1.57 to 7.00, p = 0.002). For B-ADL, between-group difference scores were only statistically significant at 12 months. When excluding the patients living at a nursing home at admission, both I-ADL and B-ADL function was significantly better in the CGC group compared to the OC group at all time points. Conclusions Merged data of two randomized controlled trials showed that admitting hip fracture patients to an orthogeriatric care unit directly from the emergency department had a positive effect on ADL up to twelve months after surgery.

Bidragsytere

Shams Dakhil

  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF

Anne Pernille Mæhle Thingstad

Bidragsyterens navn vises på dette resultatet som Pernille Thingstad
  • Tilknyttet:
    Forfatter
    ved Institutt for nevromedisin og bevegelsesvitenskap ved Norges teknisk-naturvitenskapelige universitet

Frede Frihagen

Bidragsyterens navn vises på dette resultatet som Frede Frihagen
  • Tilknyttet:
    Forfatter
    ved Ortopedisk avdeling - Ullevål ved Universitetet i Oslo

Lars Gunnar Johnsen

  • Tilknyttet:
    Forfatter
    ved Klinikk for ortopedi, revmatologi og hudsykdommer ved St. Olavs Hospital HF
  • Tilknyttet:
    Forfatter
    ved Institutt for nevromedisin og bevegelsesvitenskap ved Norges teknisk-naturvitenskapelige universitet
  • Tilknyttet:
    Forfatter
    ved Akuttklinikken ved Oslo universitetssykehus HF

Stian Lydersen

  • Tilknyttet:
    Forfatter
    ved RKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern ved Norges teknisk-naturvitenskapelige universitet
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