Näytä suppeat kuvailutiedot

dc.contributor.authorSoukkio, Paula K.
dc.contributor.authorSuikkanen, Sara A.
dc.contributor.authorAartolahti, Eeva M.
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorKääriä, Sanna M.
dc.contributor.authorHupli, Markku T.
dc.contributor.authorPitkälä, Kaisu H.
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorKukkonen-Harjula, Katriina T.
dc.date.accessioned2021-11-10T13:11:10Z
dc.date.available2021-11-10T13:11:10Z
dc.date.issued2021
dc.identifier.citationSoukkio, 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. <i>Archives of Physical Medicine and Rehabilitation</i>, <i>102</i>(9), 1692-1699. <a href="https://doi.org/10.1016/j.apmr.2021.04.004" target="_blank">https://doi.org/10.1016/j.apmr.2021.04.004</a>
dc.identifier.otherCONVID_68780379
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/78589
dc.description.abstractObjective 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.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesArchives of Physical Medicine and Rehabilitation
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherhip fractures
dc.subject.otherexercise
dc.subject.otherrehabilitation
dc.subject.otheraged
dc.subject.otherfunctional status
dc.subject.otherhealth services
dc.subject.othercost analysis
dc.titleEffects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202111105607
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiainePhysiotherapyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1692-1699
dc.relation.issn0003-9993
dc.relation.numberinseries9
dc.relation.volume102
dc.type.versionacceptedVersion
dc.rights.copyright© 2021 The American Congress of Rehabilitation Medicine
dc.rights.accesslevelopenAccessfi
dc.subject.ysoikääntyneet
dc.subject.ysotoimintakyky
dc.subject.ysoterveyspalvelut
dc.subject.ysoluunmurtumat
dc.subject.ysokuntoliikunta
dc.subject.ysotuloksellisuus
dc.subject.ysolonkka
dc.subject.ysokuntoutus
dc.subject.ysoliikuntahoito
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p10213
jyx.subject.urihttp://www.yso.fi/onto/yso/p3307
jyx.subject.urihttp://www.yso.fi/onto/yso/p23619
jyx.subject.urihttp://www.yso.fi/onto/yso/p3708
jyx.subject.urihttp://www.yso.fi/onto/yso/p5864
jyx.subject.urihttp://www.yso.fi/onto/yso/p7232
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p7811
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.apmr.2021.04.004
jyx.fundinginformationThis 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).
dc.type.okmA1


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