Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study
Objective: To evaluate the new service model of additional weekend and holiday physiotherapy (PT) by comparing functional outcomes and hospital length of stay between a group of geriatric patients with hip fracture receiving daily PT training and a group of geriatric patients with hip fracture recei...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2021-12-01
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| Series: | Hong Kong Physiotherapy Journal |
| Subjects: | |
| Online Access: | http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500104 |
| _version_ | 1818872125151248384 |
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| author | Dennis Kim Chung Mo Ken Kin Ming Lau Donna Mei Yee Fung Bosco Hon Ming Ma Titanic Fuk On Lau Sheung Wai Law |
| author_facet | Dennis Kim Chung Mo Ken Kin Ming Lau Donna Mei Yee Fung Bosco Hon Ming Ma Titanic Fuk On Lau Sheung Wai Law |
| author_sort | Dennis Kim Chung Mo |
| collection | DOAJ |
| description | Objective: To evaluate the new service model of additional weekend and holiday physiotherapy (PT) by comparing functional outcomes and hospital length of stay between a group of geriatric patients with hip fracture receiving daily PT training and a group of geriatric patients with hip fracture receiving weekdays PT training.
Methods: A retrospective case-historical control chart review was conducted and a total of 355 patients were identified. Between-group comparisons were done on functional outcomes including Modified Functional Ambulation Classification (MFAC), Elderly Mobility Scale (EMS), Modified Barthel Index (MBI) and process outcome in terms of length of stay (LOS) in hospitals.
Results: With similar characteristics, patients who received weekend and holiday PT training had a significant higher percentage of MFAC Category III and a significant lower percentage of MFAC Category II (p=0.015) and significant higher MBI scores (mean±standard deviation, median; Study group: 47.4±19.6 points, 51 points; Control group: 43.0±20.0 points, 43 points; p=0.042) upon admission to rehabilitation hospital. A similar trend in EMS scores (Study group: 8.2±5.5 points, 7 points; Control group: 8.4±6.1 points, 6 points; p=0.998) and MBI scores (Study group: 63.0±23.4 points, 68 points; Control group: 61.2±26.1 points, 64 points; p=0.743) were observed upon discharge from the rehabilitation hospital. The average LOS in acute hospitals remained static (Study group: 7.7±3.9 days, 7 days; Control group: 7.4±5.0 days, 6 days; p=0.192). The average LOS in rehabilitation hospital (Study group: 20.0±5.5 days, 20 days; Control group: 24.3±9.9 days, 23 days; p<0.001) and total in-patient LOS (Study group: 26.7±6.4 days, 26 days; Control group: 30.7±11.2 days, 28 days; p<0.001) were significantly reduced. A higher percentage of days having PT training during hospitalization in rehabilitation hospital was shown with the implementation of new service (Study group: 89.1%; Control group: 65.9%, p<0.001).
Conclusion: Additional weekend and holiday PT training in post-operative acute and rehabilitation hospitalization benefits geriatric patients with hip fracture in terms of improved training efficiency, where hospital LOS was shortened with more PT sessions, without any significant impacts on functional outcome. |
| first_indexed | 2024-12-19T12:33:50Z |
| format | Article |
| id | doaj.art-f622d53787204a89820711535857667f |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-12-19T12:33:50Z |
| publishDate | 2021-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-f622d53787204a89820711535857667f2022-12-21T20:21:13ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2021-12-0141210911810.1142/S101370252150010410.1142/S1013702521500104Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control studyDennis Kim Chung Mo0Ken Kin Ming Lau1Donna Mei Yee Fung2Bosco Hon Ming Ma3Titanic Fuk On Lau4Sheung Wai Law5Physiotherapy Department, Tai Po Hospital, Hospital Authority, Hong KongPhysiotherapy Department, Tai Po Hospital, Hospital Authority, Hong KongPhysiotherapy Department, Tai Po Hospital, Hospital Authority, Hong KongThe Chinese University of Hong Kong, Hong KongPhysiotherapy Department, Tai Po Hospital, Hospital Authority, Hong KongDepartment of Orthopaedic Rehabilitation, Tai Po Hospital, Hospital Authority, Hong KongObjective: To evaluate the new service model of additional weekend and holiday physiotherapy (PT) by comparing functional outcomes and hospital length of stay between a group of geriatric patients with hip fracture receiving daily PT training and a group of geriatric patients with hip fracture receiving weekdays PT training. Methods: A retrospective case-historical control chart review was conducted and a total of 355 patients were identified. Between-group comparisons were done on functional outcomes including Modified Functional Ambulation Classification (MFAC), Elderly Mobility Scale (EMS), Modified Barthel Index (MBI) and process outcome in terms of length of stay (LOS) in hospitals. Results: With similar characteristics, patients who received weekend and holiday PT training had a significant higher percentage of MFAC Category III and a significant lower percentage of MFAC Category II (p=0.015) and significant higher MBI scores (mean±standard deviation, median; Study group: 47.4±19.6 points, 51 points; Control group: 43.0±20.0 points, 43 points; p=0.042) upon admission to rehabilitation hospital. A similar trend in EMS scores (Study group: 8.2±5.5 points, 7 points; Control group: 8.4±6.1 points, 6 points; p=0.998) and MBI scores (Study group: 63.0±23.4 points, 68 points; Control group: 61.2±26.1 points, 64 points; p=0.743) were observed upon discharge from the rehabilitation hospital. The average LOS in acute hospitals remained static (Study group: 7.7±3.9 days, 7 days; Control group: 7.4±5.0 days, 6 days; p=0.192). The average LOS in rehabilitation hospital (Study group: 20.0±5.5 days, 20 days; Control group: 24.3±9.9 days, 23 days; p<0.001) and total in-patient LOS (Study group: 26.7±6.4 days, 26 days; Control group: 30.7±11.2 days, 28 days; p<0.001) were significantly reduced. A higher percentage of days having PT training during hospitalization in rehabilitation hospital was shown with the implementation of new service (Study group: 89.1%; Control group: 65.9%, p<0.001). Conclusion: Additional weekend and holiday PT training in post-operative acute and rehabilitation hospitalization benefits geriatric patients with hip fracture in terms of improved training efficiency, where hospital LOS was shortened with more PT sessions, without any significant impacts on functional outcome.http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500104geriatrichip fracturephysiotherapy |
| spellingShingle | Dennis Kim Chung Mo Ken Kin Ming Lau Donna Mei Yee Fung Bosco Hon Ming Ma Titanic Fuk On Lau Sheung Wai Law Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study Hong Kong Physiotherapy Journal geriatric hip fracture physiotherapy |
| title | Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study |
| title_full | Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study |
| title_fullStr | Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study |
| title_full_unstemmed | Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study |
| title_short | Does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture? — A case-historical control study |
| title_sort | does additional weekend and holiday physiotherapy benefit geriatric patients with hip fracture a case historical control study |
| topic | geriatric hip fracture physiotherapy |
| url | http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500104 |
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