Article Text

Download PDFPDF
Care of the older person
Intensive multidisciplinary rehabilitation programmes for older people with hip fractures may be beneficial but more research is needed
  1. Valentina Spedale1,
  2. Tommaso Finco1,
  3. Paolo Mazzola1,2
  1. 1School of Medicine and Surgery, Università degli Studi di Milano-Bicocca, Monza, Italy
  2. 2Acute Geriatrics Unit, San Gerardo Hospital ASST Monza, Monza, Italy
  1. Correspondence to Professor Paolo Mazzola, School of Medicine and Surgery, Universita degli Studi di Milano-Bicocca, Monza, Italy; paolo.mazzola{at}unimib.it

Statistics from Altmetric.com

Commentary on: Handoll HH, Cameron ID, Mak JC, et al. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev 2021;11(11)

Implications for practice and research

  • There is evidence of moderate certainty that multidisciplinary rehabilitation after hip fracture surgery results in fewer cases of ‘poor outcome’.

  • The available studies are insufficient to draw robust conclusions about effectiveness of multidisciplinary rehabilitation.

Context

In industrialised countries, hip fracture is a major threat for frail older people and the healthcare system. Moreover, the burden on society is increasing: 1.6 million of fractures occurred in adults in 2000, with predictions of numbers rising to 7.3–21.3 million by the year 2050.1 Mean age of fracture is around 80 years, and about 80% are women. Despite successful surgical treatment, the 1-year mortality rate is 12%–37%, while 10%–20% will require a change to a …

View Full Text

Footnotes

  • Twitter @paolinomj

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.