A1 Journal article (refereed)
Effects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial (2021)


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


JYU authors or editors


Publication details

All authors or editors: Soukkio, Paula K.; Suikkanen, Sara A.; Aartolahti, Eeva M.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Pitkälä, Kaisu H.; Sipilä, Sarianna; Kukkonen-Harjula, Katriina T.

Journal or series: Archives of Physical Medicine and Rehabilitation

ISSN: 0003-9993

eISSN: 1532-821X

Publication year: 2021

Volume: 102

Issue number: 9

Pages range: 1692-1699

Publisher: Elsevier

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1016/j.apmr.2021.04.004

Publication open access: Not open

Publication channel open access:

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/78589


Abstract

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.


Keywords: hip; bone fractures; rehabilitation; exercise therapy; exercise (people); senior citizens; functional capacity; health services; effectiveness

Free keywords: hip fractures; exercise; rehabilitation; aged; functional status; health services; cost analysis


Contributing organizations


Ministry reporting: Yes

Preliminary JUFO rating: 3


Last updated on 2021-10-11 at 15:11