Table 2.
Description of inpatient rehabilitation programmes specifically designed for geriatric patients in 17 included randomised controlled trials
Programme description | Structure of programme | Process of programme | |||||||
---|---|---|---|---|---|---|---|---|---|
Location | Additional team members* | Multidimensional geriatric assessment | Assignment to therapy | Intervention team meetings for goal setting | Mean length of hospital stay after randomisation (days)† | Follow-up intervention after hospital discharge | |||
General geriatric rehabilitation | |||||||||
Applegate 1990 | Geriatric assessment unit | Separate unit in acute care hospital complex | Physiotherapist, occupational therapist, psychologist, social worker, speech therapist, dietician | Yes | Yes | Weekly | 23.6 | No | |
Cohen 2002 | Geriatric evaluation and management unit | Separate unit in acute care medical centre | Physiotherapist, occupational therapist, social worker, dietician | Yes | Yes | Twice a week | 23.2 | Yes (one subsample: outpatient care in VA geriatric programme) | |
Fleming 2004 | Care home rehabilitation services | Separate institution for rehabilitation | Social worker, occupational therapist | No | No | No | 16.3 | No | |
Karppi 1995 | Geriatric inpatient unit | Separate unit in acute care hospital | Physiotherapist, occupational therapist, social worker, psychologist | Yes | NA | NA | 16.5 | No | |
Rubenstein 1984 | Geriatric evaluation unit | Separate unit in acute care medical centre | Physiotherapist, occupational therapist, social worker, psychologist, dietician | Yes | Yes | Weekly | 85.1 | Yes (continuing care in geriatric outpatient clinic) | |
Saltvedt 2002 | Geriatric evaluation and management unit | Separate unit in acute care hospital | Physiotherapist, occupational therapist | Yes | Yes | Twice a week | 21.2 | No | |
White 1994 | Multidisciplinary geriatric care | Separate unit in acute care hospital | Social worker, dietician, occupational therapist, pharmacist, physiotherapist | Yes | Yes | Yes | 7.7 | No | |
Young 2007 | Multidisciplinary geriatric care | Separate hospital for rehabilitation | Physiotherapist, social worker | Yes | No | Yes | 22‡ | No | |
Orthopaedic geriatric rehabilitation | |||||||||
Cameron 1993 | Accelerated rehabilitation | Combined acute/post-acute unit in acute care hospital | Physiotherapist, occupational therapist, social worker | Yes | No | Yes | 19.5 | Yes (day hospital or physiotherapy) | |
Gilchrist 1988 | Orthopaedic geriatric inpatient care | Separate hospital for rehabilitation | Orthopaedic surgeon, physiotherapist, occupational therapist, social worker | No | No | Weekly | 33.8 | No | |
Huusko 2002 | Intensive geriatric rehabilitation | Separate unit in acute care hospital | Physiotherapist, occupational therapist, social worker, psychologist | Yes | Yes | Weekly | 34 | Yes (physiotherapy for two months) | |
Kennie 1988 | Geriatric rehabilitation | Separate hospital for rehabilitation | Physiotherapist, occupational therapist | Yes | No | Yes | 24‡ | No | |
Naglie 2002 | Postoperative multidisciplinary care | Separate unit in acute care hospital | Orthopaedic surgeon, physiotherapist, occupational therapist, social worker | Yes | No | No | 29.2 | No | |
Shyu 2005 | Multidisciplinary intervention programme | Combined acute/post-acute unit in acute care hospital | Physiotherapist | Yes | Yes | Yes | 10.1 | Yes (geriatric nurse coordination of follow-up services and clinic visits) | |
Stenvall 2007 | Multidisciplinary postoperative rehabilitation | Combined acute/post-acute unit in acute care hospital | Physiotherapist, occupational therapist, dietician | Yes | Yes | Yes | 30.0 | Yes | |
Swanson 1998 | Multidisciplinary rehabilitation intervention | Combined acute/post-acute unit in acute care hospital | Orthopaedic surgeon, physiotherapist, occupational therapist, social worker | Yes | Yes | Weekly | 21.0 | Yes (follow-up visit one and six months after discharge) | |
Vidan 2005 | Comprehensive geriatric intervention | Combined acute/post-acute unit in acute care hospital | Social worker, rehabilitation specialist | Yes | Yes | Weekly | 16‡ | No |
NA=not available.
*All teams included geriatrician and nurse.
†Weighted for sample size.
‡Median.