TY  - JOUR
PY  - 1997//
TI  - Posthospital setting, resource utilization, and self-care outcome in older women with hip fracture
JO  - Archives of physical medicine and rehabilitation
A1  - Levi, S. J.
SP  - 973
EP  - 979
VL  - 78
IS  - 9
N2  - OBJECTIVE: To compare posthospital rehabilitation resource utilization and self-care outcome of women with hip fracture discharged to three types of setting (home, inpatient rehabilitation, skilled nursing). DESIGN: Prospective cohort study. Patient interviews in the hospital, 2 and 6 months after fracture, hospital record reviews. SETTING: Two general community and two teaching hospitals. PATIENTS: Consecutive sample of community-living women with hip fracture, aged 65 and over. Of 179 eligible, 130 patients enrolled and 123 completed study. INTERVENTIONS: Prospective observational study. MAIN OUTCOME MEASURES: Posthospital institutional days, cumulative sessions of physical and occupational therapy within 6 months after fracture, and 2- and 6-month Barthel Index. RESULTS: For patients discharged to home, inpatient rehabilitation, and skilled nursing, respectively, mean posthospital institutional days were 1, 16, and 50; mean sessions of physical therapy were 15, 35, and 50; mean sessions of occupational therapy were 0, 11, and 16; mean 2-month Barthel Index was 93, 89, and 80; mean 6-month Barthel Index was 89, 88, and 86. Differences in posthospital institutional days and physical and occupational therapy sessions, but not 2- and 6-month Barthel Index, were statistically significant after controlling for patient characteristics. CONCLUSIONS: Type of posthospital setting is associated with resource utilization, but not self-care outcome after hip fracture.<p /> <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/
ID  - ref1
ER  -