{"id":21437,"date":"2025-02-25T16:12:54","date_gmt":"2025-02-25T21:12:54","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21437"},"modified":"2025-03-03T16:23:36","modified_gmt":"2025-03-03T21:23:36","slug":"factors-influencing-initial-rehabilitation-type-after-hip-fracture-surgery","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/factors-influencing-initial-rehabilitation-type-after-hip-fracture-surgery\/","title":{"rendered":"Factors influencing initial rehabilitation type after hip fracture surgery: a retrospective cohort study"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 To describe and compare the factors that impact initial rehabilitation type after hip fracture surgery.<\/p>\n<p><strong>Design<\/strong> \u2014 Retrospective population-based cohort study.<\/p>\n<p><strong>Setting and participants<\/strong> \u2014 People aged between 50 and 105 with a hip fracture who had a surgical repair in Ontario, Canada, between January 1, 2015, and December 31, 2021.<\/p>\n<p><strong>Methods<\/strong> \u2014Descriptive statistics and a multinomial logistic regression model were used to identify factors associated with initial rehabilitation type.<\/p>\n<p><strong>Results<\/strong> \u2014 In this study, 63,401 individuals were included with a mean age of 80 years (standard deviation [SD] 10.9), mostly female (67.3%), with 86.3% living in urban areas at the time of hospitalization and most (72.6%) admitted from the community without home care. A total of 24.5% of individuals did not receive any form of rehabilitation. Rurality of residence decreased the odds of having an initial rehabilitation type in complex continuing care (odds ratio [OR], 0.23; 95% CI, 0.21\u20130.26), in inpatient rehabilitation (OR, 0.26; 95% CI, 0.24\u20130.28), or in community rehabilitation (OR, 0.54; 95% CI, 0.50\u20130.58) compared with no rehabilitation. Dementia decreased the odds of having an initial rehabilitation type in complex continuing care (OR, 0.75; 95% CI, 0.69\u20130.81), in inpatient rehabilitation (OR, 0.44; 95% CI, 0.41\u20130.47), or in community rehabilitation (OR, 0.88; 95% CI, 0.82\u20130.95) compared with receiving no rehabilitation. Previous history of fragility fracture decreased the odds of having an initial rehabilitation type in either complex continuing care (OR, 0.30; 95% CI, 0.27\u20130.34), in inpatient rehabilitation (OR, 0.27; 95% CI, 0.24\u20130.29), or in community rehabilitation (OR, 0.33; 95% CI, 0.30\u20130.37) compared with no rehabilitation.<\/p>\n<p><strong>Conclusions and implications<\/strong> \u2014 Rurality of residence, dementia, and previous history of fragility fractures reduced the odds of receiving specialized inpatient rehabilitation and increased the odds of receiving no rehabilitation. Future research should focus on achieving more equitable care for individuals living in rural settings, with dementia, or with previous fragility fractures to enhance the quality of care and achieve best outcomes for the overall hip fracture population.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 To describe and compare the factors that impact initial rehabilitation type after hip fracture surgery. Design \u2014 Retrospective population-based cohort study. Setting and participants \u2014 People aged between 50 and 105 with a hip fracture who had a surgical repair in Ontario, Canada, between January 1, 2015, and December 31, 2021. Methods \u2014Descriptive [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[36,25],"migration-helper-qa-sample-set":[],"class_list":["post-21437","journal_article","type-journal_article","status-publish","hentry","topic-rehabilitation","topic-surgery"],"acf":{"citation":"Backman C, Li W, Shah S, Papp S, Fung SG, Dumicho AY, Tuna M, Engel FD, Webber C, Turcotte L, McIsaac DI, Beaul\u00e9 PE, French-Merkley V, Poitras S, Lafleur B, Watt J, Vincent C, Straus S, Tran A, Pitzul K, Guilcher SJT, Senthinathan A, Tanuseputro P. <em>J Am Med Dir Assoc<\/em>. 2025; Feb 25 [Epub ahead of print].","source_url":"https:\/\/www.jamda.com\/article\/S1525-8610(25)00038-6\/fulltext","ices_scientist":[1319,1121,1255,21611],"site":[6734],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Factors influencing initial rehabilitation type after hip fracture surgery: a retrospective cohort study<\/title>\n<meta name=\"description\" content=\"Objective \u2014 To describe and compare the factors that impact initial rehabilitation type after hip fracture surgery. 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