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).