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Almilaji, Orouba, Ayis, Salma, Goubar, Aicha, Beaupre, Lauren, Cameron, Ian D., Milton-Cole, Rhian, Gregson, Celia L., Johansen, Antony, Tange Kristensen, Morten, Magaziner, Jay, Martin, Finbarr C., Sackley, Catherine, Sadler, Euan, Smith, Toby O. 
ORCID: https://orcid.org/0000-0003-1673-2954, Sobolev, Boris and Sheehan, Katie J.
(2023)
Frequency, duration, and type of physiotherapy in the week after hip fracture surgery - analysis of implications for discharge home, readmission, survival, and recovery of mobility.
Physiotherapy, 120.
pp. 47-59.
ISSN 0031-9406
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Abstract
Purpose: To examine the association between physiotherapy access after hip fracture and discharge home, readmission, survival, and mobility recovery. Methods: A 2017 Physiotherapy Hip Fracture Sprint Audit was linked to hospital records for 5,383 patients. Logistic regression was used to estimate the association between physiotherapy access in the first postoperative week and discharge home, 30-day readmission post-discharge, 30-day survival and 120-days mobility recovery post-admission adjusted for age, sex, American Society of Anesthesiology grade, Hospital Frailty Risk Score and prefracture mobility/residence. Results: Overall, 73% were female and 40% had high frailty risk. Patients who received ≥2 hours of physiotherapy (versus less) had 3% (95% Confidence Interval: 0-6%), 4% (2-6%), and 6% (1-11%) higher adjusted probabilities of discharge home, survival, and outdoor mobility recovery, and 3% (0-6%) lower adjusted probability of readmission. Recipients of exercise (versus mobilisation alone) had 6% (1-12%), 3% (0-7%), and 11% (3-18%) higher adjusted probabilities of discharge home, survival, and outdoor mobility recovery, and 6% (2-10%) lower adjusted probability of readmission. Recipients of 6-7 days physiotherapy (versus 0-2 days) had 8% (5-11%) higher adjusted probability of survival. For patients with dementia, improved probability of survival, discharge home, readmission and indoor mobility recovery were observed with greater physiotherapy access. Conclusion: Greater access to physiotherapy was associated with a higher probability of positive outcomes. For every 100 patients, greater access could equate to an additional eight patients surviving to 30-days and six avoiding 30-day readmission. The findings suggest a potential benefit in terms of home discharge and outdoor mobility recovery.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: The authors have received grants from the Chartered Society of Physiotherapy Charitable Trust related to this work (Grant No: PRF/18/A24). |
| Uncontrolled Keywords: | rehabilitation,physiotherapy,recovery,hip fracture,audit,national hip fracture database,physical therapy, sports therapy and rehabilitation ,/dk/atira/pure/subjectarea/asjc/3600/3612 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 28 Mar 2023 08:30 |
| Last Modified: | 19 Oct 2023 03:34 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/91692 |
| DOI: | 10.1016/j.physio.2023.03.002 |
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