Table 2.
Summary of intervention components and outcome measures.
| Components | Study | |||
|
|
Huusko et al [15] | Moseley et al [16] | Shyu et al [17] | |
| Intervention components |
|
|
|
|
|
|
Physical | Physiotherapist visit twice daily; occupational therapy; practice with nurse during day | Weight-bearing exercises twice daily for 60 minutes and walking on the treadmill for 16 weeks | During inpatient stay and 3 months after. inpatient (physiotherapist visits three times daily) |
|
|
Cognitive | Psychiatrist up to four times per week | N/A | N/A |
| At-home physiotherapist | 10 visits by a physiotherapist | 8 visits by a physiotherapist | 3 visits by a physiotherapist | |
| At-home registered nurse | N/A | N/A | 4 visits in 1st month, then biweekly until 3rd month | |
| Family education | Family counseling | N/A | N/A | |
| Inpatient assessment | N/A | N/A | Geriatric consultation before and after surgery; nurse and physician visit once a day | |
| Discharge assessment | Discharge plan checked in weekly meetings with the patient and family | N/A | Assessment done by nurse; evaluated (caregiver competence, family resources, family function, patient self-care abilities, and need for community or long-term care services) | |
| At-home assessment | Physiotherapist made home visit before discharge if necessary | N/A | Part of discharge assessment by nurse | |
| Nurse and physiotherapist meetings | Nurse and physiotherapists met weekly to improve rehab | N/A | N/A | |
| Duration of outpatient component | Unclear | Unclear | 3 months after discharge | |
| Outcome measures | Length of hospital stay; mortality; place of residence 3 months and 1 year after discharge | Knee extensor strength, and walking speed (primary); PPME, sit to stand, gait aid use, Barthel Index, falls, hospital readmission, pain, EQ5Da, balanceb(secondary) | Hip flexion ration; two items on CBI (walking ability, ADL recovery); falls; mortality; emergency room visits; hospital readmission; institutionalization | |
| Function outcome measures | N/A | Knee extensor strength (primary); PPME, sit to stand, patients rank of strength (secondary); at admission, 4 and 16 weeks; by blinded research assistants | Hip flexion ratio; at 1, 3, 6, 12, 18, 24 months post-discharge; by geriatric nurse | |
| ADL outcome measures | N/A | Barthel ADL scale; PPME; at admission, 4, and 16 weeks; by blinded research assistants | Barthel ADL scale; at 1, 3, 6, 12, 18, 24 months post-discharge; by geriatric nurse | |
| Mobility outcome measures | — | 6-minute walking speed test and a self-report measure; at admission, 4, and 16 weeks; by blinded research assistants | One item from Barthel; at 1, 3, 6, 12, 18, 24 months post-discharge; by geriatric nurse | |
aQuality of Life patients rank of strength
bBalance: max balance range test, step test, body sway, lateral stability, co-ordinated stability, choice stepping reaction time.