title: Two-year effects of an interdisciplinary intervention on recovery following hip fracture in older Taiwanese with cognitive impairment.
abstract: OBJECTIVE
  This article aims to evaluate the long-term effects of an interdisciplinary intervention program on cognitively impaired older persons after hip fracture in Taiwan.
  
  
  METHODS
  Of 160 subjects randomly assigned to control (n = 81) and intervention (n  =  79) groups, 24 (29.6%) and 27 (34.2%) were cognitively impaired in the control and intervention groups, respectively, and outcomes were followed for 2 years after discharge.
  
  
  RESULTS
  Among cognitively impaired subjects, more in the intervention group recovered their previous walking ability (odds ratio [OR] =3.49; confidence interval [CI] = 1.64 to 7.42), activities of daily life performance (β  =  18.59; p = 0.0002), and more were readmitted to the hospital (OR  =  4.44, CI  =  1.53 to 12.89) than those in the control group during the first 2 years following discharge. Among subjects without cognitive impairment, more in the intervention group recovered their previous walking ability (OR  =  2.6; CI  =  1.33 to 5.07), had fewer falls (OR  =  0.47; CI  =  0.25 to 0.86), and made fewer emergency room visits (OR  =  0.33; CI = 0.11 to 0.97) during the first 2 years following discharge than those in the control group.
  
  
  CONCLUSIONS
  Cognitively impaired individuals benefited from our interdisciplinary intervention by improving their walking ability and physical function during the first 2 years following discharge. Specific strategies on fall prevention following hip fracture need to be further developed for cognitively impaired individuals.
authors: School of Nursing, Chang Gung University, Taoyuan, Taiwan. yeaing@mail.cgu.edu.tw
authors: Yea-Ing L
authors: YI
authors: Shyu
authors: Wen-Che
authors: WC
authors: Tsai
authors: Min-Chi
authors: MC
authors: Chen
authors: Jersey
authors: J
authors: Liang
authors: Huey-Shinn
authors: HS
authors: Cheng
authors: Chi-Chuan
authors: CC
authors: Wu
authors: Juin-Yih
authors: JY
authors: Su
authors: Shih-Wei
authors: SW
authors: Chou
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000150:complications*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000150:complications / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D013624:Taiwan; D016138:Walking