Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

Kyunghoon Min; Jaewon Beom; Bo Ryun Kim; Sang Yoon Lee; Goo Joo Lee; Jung Hwan Lee; Seung Yeol Lee; Sun Jae Won; Sangwoo Ahn; Heui Je Bang; Yonghan Cha; Min Cheol Chang; Jung Yeon Choi; Jong Geol Do; Kyung Hee Do; Jae Young Han; Il Young Jang; Youri Jin; Dong Hwan Kim; Du Hwan Kim; In Jong Kim; Myung Chul Kim; Won Kim; Yun Jung Lee; In Seok Lee; In Sik Lee; Jung Soo Lee; Chang Hyung Lee; Seong Hoon Lim; Donghwi Park; Jung Hyun Park; Myungsook Park; Yongsoon Park; Ju Seok Ryu; Young Jin Song; Seoyon Yang; Hee Seung Yang; Ji Sung Yoo; Jun Il Yoo; Seung Don Yoo; Kyoung Hyo Choi; Jae Young Lim

doi:10.5535/ARM.21110

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

Kyunghoon Min, Jaewon Beom, Bo Ryun Kim, Sang Yoon Lee, Goo Joo Lee, Jung Hwan Lee, Seung Yeol Lee, Sun Jae Won, Sangwoo Ahn, Heui Je Bang, Yonghan Cha, Min Cheol Chang, Jung Yeon Choi, Jong Geol Do, Kyung Hee Do, Jae Young Han, Il Young Jang, Youri Jin, Dong Hwan Kim, Du Hwan KimIn Jong Kim, Myung Chul Kim, Won Kim, Yun Jung Lee, In Seok Lee, In Sik Lee, Jung Soo Lee, Chang Hyung Lee, Seong Hoon Lim, Donghwi Park, Jung Hyun Park, Myungsook Park, Yongsoon Park, Ju Seok Ryu, Young Jin Song, Seoyon Yang, Hee Seung Yang, Ji Sung Yoo, Jun Il Yoo, Seung Don Yoo, Kyoung Hyo Choi, Jae Young Lim

Department of Rehabilitation Medicine

Research output: Contribution to journal › Article › peer-review

42 Scopus citations

Abstract

Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

Original language	English
Pages (from-to)	225-259
Number of pages	35
Journal	Annals of Rehabilitation Medicine
Volume	45
Issue number	3
DOIs	https://doi.org/10.5535/ARM.21110
State	Published - 2021

Bibliographical note

Publisher Copyright:
© 2021. by Korean Academy of Rehabilitation Medicine.

Keywords

Community Health Services
Hip fractures
Patient Care Team
Practice Guideline
Rehabilitation

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10.5535/ARM.21110

Cite this

Min, K., Beom, J., Kim, B. R., Lee, S. Y., Lee, G. J., Lee, J. H., Lee, S. Y., Won, S. J., Ahn, S., Bang, H. J., Cha, Y., Chang, M. C., Choi, J. Y., Do, J. G., Do, K. H., Han, J. Y., Jang, I. Y., Jin, Y., Kim, D. H., ... Lim, J. Y. (2021). Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures. Annals of Rehabilitation Medicine, 45(3), 225-259. https://doi.org/10.5535/ARM.21110

@article{54dfd0d09d5d487e85793981c31e1842,

title = "Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures",

abstract = "Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.",

keywords = "Community Health Services, Hip fractures, Patient Care Team, Practice Guideline, Rehabilitation",

author = "Kyunghoon Min and Jaewon Beom and Kim, {Bo Ryun} and Lee, {Sang Yoon} and Lee, {Goo Joo} and Lee, {Jung Hwan} and Lee, {Seung Yeol} and Won, {Sun Jae} and Sangwoo Ahn and Bang, {Heui Je} and Yonghan Cha and Chang, {Min Cheol} and Choi, {Jung Yeon} and Do, {Jong Geol} and Do, {Kyung Hee} and Han, {Jae Young} and Jang, {Il Young} and Youri Jin and Kim, {Dong Hwan} and Kim, {Du Hwan} and Kim, {In Jong} and Kim, {Myung Chul} and Won Kim and Lee, {Yun Jung} and Lee, {In Seok} and Lee, {In Sik} and Lee, {Jung Soo} and Lee, {Chang Hyung} and Lim, {Seong Hoon} and Donghwi Park and Park, {Jung Hyun} and Myungsook Park and Yongsoon Park and Ryu, {Ju Seok} and Song, {Young Jin} and Seoyon Yang and Yang, {Hee Seung} and Yoo, {Ji Sung} and Yoo, {Jun Il} and Yoo, {Seung Don} and Choi, {Kyoung Hyo} and Lim, {Jae Young}",

note = "Publisher Copyright: {\textcopyright} 2021. by Korean Academy of Rehabilitation Medicine.",

year = "2021",

doi = "10.5535/ARM.21110",

language = "English",

volume = "45",

pages = "225--259",

journal = "Annals of Rehabilitation Medicine",

issn = "2234-0645",

publisher = "Korean Academy of Rehabilitation Medicine (KARM)",

number = "3",

}

Min, K, Beom, J, Kim, BR, Lee, SY, Lee, GJ, Lee, JH, Lee, SY, Won, SJ, Ahn, S, Bang, HJ, Cha, Y, Chang, MC, Choi, JY, Do, JG, Do, KH, Han, JY, Jang, IY, Jin, Y, Kim, DH, Kim, DH, Kim, IJ, Kim, MC, Kim, W, Lee, YJ, Lee, IS, Lee, IS, Lee, JS, Lee, CH, Lim, SH, Park, D, Park, JH, Park, M, Park, Y, Ryu, JS, Song, YJ, Yang, S, Yang, HS, Yoo, JS, Yoo, JI, Yoo, SD, Choi, KH & Lim, JY 2021, 'Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures', Annals of Rehabilitation Medicine, vol. 45, no. 3, pp. 225-259. https://doi.org/10.5535/ARM.21110

TY - JOUR

T1 - Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

AU - Min, Kyunghoon

AU - Beom, Jaewon

AU - Kim, Bo Ryun

AU - Lee, Sang Yoon

AU - Lee, Goo Joo

AU - Lee, Jung Hwan

AU - Lee, Seung Yeol

AU - Won, Sun Jae

AU - Ahn, Sangwoo

AU - Bang, Heui Je

AU - Cha, Yonghan

AU - Chang, Min Cheol

AU - Choi, Jung Yeon

AU - Do, Jong Geol

AU - Do, Kyung Hee

AU - Han, Jae Young

AU - Jang, Il Young

AU - Jin, Youri

AU - Kim, Dong Hwan

AU - Kim, Du Hwan

AU - Kim, In Jong

AU - Kim, Myung Chul

AU - Kim, Won

AU - Lee, Yun Jung

AU - Lee, In Seok

AU - Lee, In Sik

AU - Lee, Jung Soo

AU - Lee, Chang Hyung

AU - Lim, Seong Hoon

AU - Park, Donghwi

AU - Park, Jung Hyun

AU - Park, Myungsook

AU - Park, Yongsoon

AU - Ryu, Ju Seok

AU - Song, Young Jin

AU - Yang, Seoyon

AU - Yang, Hee Seung

AU - Yoo, Ji Sung

AU - Yoo, Jun Il

AU - Yoo, Seung Don

AU - Choi, Kyoung Hyo

AU - Lim, Jae Young

PY - 2021

Y1 - 2021

N2 - Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

AB - Objective The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost. Conclusion This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

KW - Community Health Services

KW - Hip fractures

KW - Patient Care Team

KW - Practice Guideline

KW - Rehabilitation

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U2 - 10.5535/ARM.21110

DO - 10.5535/ARM.21110

M3 - Article

AN - SCOPUS:85111316729

SN - 2234-0645

VL - 45

SP - 225

EP - 259

JO - Annals of Rehabilitation Medicine

JF - Annals of Rehabilitation Medicine

IS - 3

ER -

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

Abstract

Bibliographical note

Keywords

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