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Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture
Department of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London, London SE1 1UL, United Kingdom.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Medical Gerontology, King's College London.
Trauma Unit, University Hospital of Wales, Cardiff, United Kingdom.
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2019 (English)In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 99, no 3, p. 276-285Article in journal (Refereed)
Abstract [en]

Researchers face a challenge when evaluating the effectiveness of rehabilitation after a surgical procedure for hip fracture. Reported outcomes of rehabilitation will vary depending on the end point of the episode of care. Evaluation at an inappropriate end point might suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this article is to describe a conceptual framework for a continuum-care episode of rehabilitation after a surgical procedure for hip fracture. Definitions are proposed for the index event, end point, and service scope of the episode. Challenges in defining the episode of care and operationalizing the episode, and next steps for researchers are discussed. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery end points. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes, enabling researchers to determine the true effectiveness of rehabilitation after a surgical procedure for hip fracture.

Place, publisher, year, edition, pages
Oxford University Press, 2019. Vol. 99, no 3, p. 276-285
Keywords [en]
Orthopedics, Rehabilitation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-4073DOI: 10.1093/ptj/pzy145ISI: 000462720000004PubMedID: 30690532Scopus ID: 2-s2.0-85061976039Local ID: 30124OAI: oai:DiVA.org:mau-4073DiVA, id: diva2:1400897
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-17Bibliographically approved

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Hommel, Ami

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