Effects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial
Soukkio, P. K., Suikkanen, S. A., Aartolahti, E. M., Kautiainen, H., Kääriä, S. M., Hupli, M. T., Pitkälä, K. H., Sipilä, S., & Kukkonen-Harjula, K. T. (2021). Effects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 102(9), 1692-1699. https://doi.org/10.1016/j.apmr.2021.04.004
Julkaistu sarjassa
Archives of Physical Medicine and RehabilitationTekijät
Päivämäärä
2021Oppiaine
FysioterapiaGerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöPhysiotherapyGerontology and Public HealthGerontology Research CenterSchool of WellbeingTekijänoikeudet
© 2021 The American Congress of Rehabilitation Medicine
Objective
To evaluate the effects of a physical exercise program on days lived at home, the use and costs of healthcare and social services mortality and functional independence among patients with hip fractures.
Design
Randomized controlled trial with parallel two-group design, consisting of a 12-month intervention and 12-month registry follow-up.
Setting
Home-based intervention.
Participants
Patients with operated hip fracture, living at home, aged ≥60 years, randomized into physical-exercise (n=61) or usual-care (n=60) groups.
Intervention
Supervised physical exercise twice a week.
Main Outcome Measures
The primary outcome was the number of days lived at home over 24 months. Secondary outcomes were the use and costs of healthcare and social services and mortality over 24 months, and Functional Independence Measure (FIM) over 12 months.
Results
Over 24 months there was no significant difference between the groups in terms of days lived at home (Incidence Rate Ratio [IRR] 1.01 [95% CI 0.90–1.14]) or mortality (Hazard Ratio [HR] 1.01 [95% CI 0.42–2.43]). The mean total costs of healthcare and social services did not differ between the groups: over 12 months the costs per person-year were 1.26-fold (95% CI 0.87–1.86) and over 24 months 1.08-fold (95% CI 0.77–1.70) greater in the physical-exercise than in the usual-care group. The mean difference between the change in FIM of the groups over 12 months was 4.5 points (95% CI 0.5–8.5, p=0.029) in favor of the physical-exercise group.
Conclusions
Long-term home-based physical exercise had no effect on the number of days lived at home over 24 months among patients with hip fractures. The intervention was cost neutral over these 24 months. The FIM scores improved in both groups over 12 months, but significantly more in the physical-exercise group than in the usual-care group.
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Julkaisija
ElsevierISSN Hae Julkaisufoorumista
0003-9993Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/68780379
Metadata
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Lisätietoja rahoituksesta
This study was funded by South Karelia Social and Health Care District (Eksote, grant number 1236/00.01.05.01/2013), the Social Insurance Institution of Finland (SII, grant numbers 94/331/2013, and 17/26/2019), and State Research Funding for Academic Health Research (Ministry of Social Affairs and Health, Finland, grant numbers HUS 2016, HUS/2931/2017, HUS/2571/2017, and HUS/2631/2019).Lisenssi
Samankaltainen aineisto
Näytetään aineistoja, joilla on samankaltainen nimeke tai asiasanat.
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Effects of a 12-month home-based exercise program on functioning after hip fracture : Secondary analyses of an RCT
Soukkio, Paula K.; Suikkanen, Sara A.; Kukkonen‐Harjula, Katriina T.; Kautiainen, Hannu; Hupli, Markku T.; Aartolahti, Eeva M.; Kääriä, Sanna M.; Pitkälä, Kaisu H.; Sipilä, Sarianna (Wiley-Blackwell, 2022)Background Long-term functional limitations are common after hip fractures. Exercise may alleviate these negative consequences but there is no consensus on an optimal training program. The objective was to study the effects ... -
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Edgren, Johanna (University of Jyväskylä, 2013) -
Changes in the Severity of Frailty Among Older Adults After 12 Months of Supervised Home-Based Physical Exercise : A Randomized Clinical Trial
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