title: Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese.
abstract: OBJECTIVE
  To explore the 2-year outcomes of an interdisciplinary intervention for elderly patients with hip fracture.
  
  
  METHODS
  Randomized experimental design.
  
  
  METHODS
  A 3,000-bed medical center in northern Taiwan.
  
  
  METHODS
  Patients with hip fracture (N=162): 80 in the intervention group and 82 in the usual care control group.
  
  
  METHODS
  An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning.
  
  
  METHODS
  Outcomes (clinical outcomes, self-care ability, health-related quality of life (HRQoL), service utilization, and depressive symptoms) were assessed 1, 3, 6, 12, 18, and 24 months after discharge. Self-care ability (ability to perform activities of daily living (ADLs)) was measured using the Chinese Barthel Index. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version (SF-36). Depressive symptoms were measured using the Chinese Geriatric Depression Scale, short form.
  
  
  RESULTS
  Subjects in the intervention group had significantly better ratios of hip flexion (beta=5.43, P<.001), better performance on ADLs (beta=9.22, P<.001), better recovery of walking ability (odds ratio (OR)=2.23, P<.001), fewer falls (OR=0.56, P=.03), fewer depressive symptoms (beta=-1.31, P=.005), and better SF-36 physical summary scores (beta=6.08, P<.001) than the control group during the first 24 months after discharge. The intervention did not affect the peak force of the fractured limb's quadriceps, mortality, service utilization, or SF-36 mental summary score.
  
  
  CONCLUSIONS
  The interdisciplinary intervention for hip fracture benefited elderly persons with hip fracture by improving clinical outcomes, self-care ability, and physical health-related outcomes and by decreasing depressive symptoms during the first 24 months after hospital discharge.
authors: School of Nursing, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan. yeaing@mail.cgu.edu.tw
authors: Yea-Ing L
authors: YI
authors: Shyu
authors: Jersey
authors: J
authors: Liang
authors: Chi-Chuan
authors: CC
authors: Wu
authors: Juin-Yih
authors: JY
authors: Su
authors: Huey-Shinn
authors: HS
authors: Cheng
authors: Shih-Wei
authors: SW
authors: Chou
authors: Min-Chi
authors: MC
authors: Chen
authors: Ching-Tzu
authors: CT
authors: Yang
authors: Ming-Yueh
authors: MY
authors: Tseng
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D003863:Depression / Q000453:epidemiology; D005260:Female; D015577:Geriatric Assessment; D006620:Hip Fractures / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013624:Taiwan / Q000453:epidemiology; D016896:Treatment Outcome