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. 2010 Apr 20;340:c1718. doi: 10.1136/bmj.c1718

Table 1.

 Description of main characteristics of 17 included randomised controlled trials (listed alphabetically by type of rehabilitation) of inpatient rehabilitation specifically designed for geriatric patients. In all studies, patients in control group received standard inpatient care, except in study of Karppi et al,22 in which they received usual supervised home care

Type of hospital for initial acute care Reason for initial hospital admission Mean length of hospital stay before randomisation (days) Main criteria for selection of study sample Mean age (years) No of patients (intervention/control)
General geriatric rehabilitation
Applegate 1990, USA28 43 Community and city hospitals Functional impairment from acute illness 21 Age ≥65, at risk for admission to nursing home, reversible functional problem, medically stable, not terminally ill or severely demented 78.8 78/77
Cohen 2002, USA21 49 Medical centre (medical or surgical ward) Acute medical or surgical illnesses NA Age ≥65, admitted from home, not terminally ill or severely demented 74.2 694/694
Fleming 2004, UK44 Community hospital Acute medical or orthopaedic disorders 35 Age ≥65, admitted from home, at risk for admission to nursing home, not severely disabled or demented, medically stable 81.5* 81/84
Karppi 1995, Finland22 Direct admissions from home Medical problems with anticipated benefit from geriatric intervention 0† Age >65, admitted from home, at risk for admission to nursing home, reversible functional problem 78.5 104/208
Rubenstein 1984, USA5 29 30 Medical centre Acute medical or surgical illnesses ≥7 Age ≥65 (all men), at risk for admission to nursing home, reversible functional problem, not terminally ill or severely demented 77.9 63/60
Saltvedt 2002, Norway14-16 University hospital Acute medical illnesses 0† Age ≥75, admitted from home, frail, not terminally ill or severely demented 82.1 127/127
White 1994, USA27 University hospital Acute medical or surgical illnesses 17 Age >65, at risk for admission to nursing home, reversible functional problem, not severely demented, medically stable 76.5 20/20
Young 2007, UK19 12 48 Community hospital Acute medical or surgical illnesses 6* Age >75, reversible functional problem, medically stable 86.0* 280/210
Orthopaedic geriatric rehabilitation
Cameron 1993, Australia11 General hospital Acute hip fracture‡ 2 Age ≥65 84.9 127/125
Gilchrist 1988, UK45 University hospital Acute hip fracture‡ 10 Age ≥65 (all women), expected prolonged hospital stay 81.3 97/125
Huusko 2002, Finland46 47 Local health centre hospital Acute hip fracture‡ ≥1 Age ≥65, admitted from home, good function before fracture, not terminally ill or severely demented 80.0 120/123
Kennie 1988, UK23 24 District hospital Acute hip fracture‡ 5 Age ≥65 (all women), expected length of hospital stay >7days 82* 54/54
Naglie 2002, Canada13 University affiliated hospital Acute hip fracture‡ 0† Age ≥70, admitted from home, good function before fracture, not terminally ill 84.2 141/139
Shyu 2005, Thailand17 Community based medical centre Acute hip fracture‡ 0† Age ≥60, good function before fracture, not terminally ill or severely demented 77.6 72/87
Stenvall 2007, Sweden25 University hospital Acute hip fracture‡ 0† Age >70, good function before fracture 82.2 102/97
Swanson 1998, Australia18 University hospital Acute hip fracture‡ 0† Age ≥55, admitted from home, good function before fracture 78.1 38/33
Vidan 2005, Spain26 University hospital Acute hip fracture‡ 0† Age >65, admitted from home, good function before fracture, not terminally ill 81.9 155/164

NA=not available.

*Median.

†Zero (0) indicates patients were enrolled and randomised directly after hospital admission (in these studies, because of initial screening and informed consent procedures, though not explicitly reported, patients might have had few inpatient hospital days before randomisation).

‡Most studies explicitly defined “acute hip fracture” as uncomplicated single sided proximal femur fracture (that is, no additional fractures, non-pathological fracture).