Table 2. Description of interventions and outcomes.
Source | Intervention Timing | Intervention | Control Group Intervention | Outcome(s) | Outcome Window | Result |
---|---|---|---|---|---|---|
Bakker, 201427 | Pre & Post | Care Protocol: | Standard care | Hospital-acquired delirium | In-hospital | No difference |
Orientation | Cognitive decline | In-hospital | No difference | |||
Mobilization | Physical decline | At discharge | Worse with intervention group | |||
Day program activities | ADL | At discharge | Worse with intervention | |||
Physiotherapy consult | ADL | At discharge | No difference | |||
Dietitian consult | ADL | 3 months post-discharge | Better with intervention | |||
Discharge planning | Readmission | 30 days post-discharge | No difference | |||
Medication review | Unplanned readmission | 30 days post-discharge | No difference | |||
CGA by geriatrician | Caregiver burden | 3 months post-discharge | No difference | |||
Binder, 200433 | Post | Exercise | Non-personalized exercise without weight training | Modified Physical Performance Test | 6 months after surgery | Better with intervention |
Functional Status Questionnaire | 6 months after surgery | Better with intervention | ||||
Basic ADL | 6 months after surgery | No difference | ||||
Instrumental ADL | 6 months after surgery | No difference | ||||
Assistive devices use | 6 months after surgery | Less use with intervention | ||||
Knee extension strength | 6 months after surgery | Better with intervention | ||||
Walking speed | 6 months after surgery | Better with intervention | ||||
Single limb stance time | 6 months after surgery | Better with intervention | ||||
Berg balance score | 6 months after surgery | Better with intervention | ||||
Total fat-free mass | 6 months after surgery | No difference | ||||
Bone mineral density | 6 months after surgery | No difference | ||||
SF-36 score | 6 months after surgery | Better health, physicial and social function with intervention | ||||
Hip Rating Questionnaire | 6 months after surgery | Better with intervention | ||||
Chen, 201426 | Post | Care Protocol: | Standard care | *Frailty rate | At discharge | Better with intervention |
3 months post-discharge | No difference | |||||
Early mobilization | Transitions between frailty states | From admission to discharge | Better with intervention | |||
Oral and nutritional assistance | ||||||
Orientating communication | From admission to 3-months post-discharge | No difference | ||||
Gorelik, 201524 | Post | Care Protocol: | Standard care | *Stability | 6 months after surgery | Better with intervention |
Walking | 6 months after surgery | Better with intervention | ||||
Rehabilitation | Malnutrition | 6 months after surgery | Better with intervention | |||
Nutrition support | Cognitive disorders | 6 months after surgery | Better with intervention | |||
Psychotherapy | Moral status | 6 months after surgery | Better with intervention | |||
Home care for some | Independence | 6 months after surgery | Better with intervention | |||
Gregersen, 201535−37 | Post | Restrictive blood transfusion | Liberal blood transfusion | Modified Barthel Index | 10 days after surgery | No difference |
New Mobility Score | 10 days after surgery | No difference | ||||
Ambulation score | 10 days after surgery | No difference | ||||
Transfer independence | 10 days after surgery | No difference | ||||
Walking independence | 10 days after surgery | No difference | ||||
Mortality, per protocol | 30-day | Worse with restrictive | ||||
Mortality | 90-day | No difference | ||||
Leukocyte counts | 30 days post-operatively | No difference | ||||
CRP concentration | 30 days post-operatively | No difference | ||||
Infection | 10 days post-operatively | No difference | ||||
Complications | 10 days post-operatively | No difference | ||||
Modified Barthel Index | Day 30 to 1 year post-operatively | Better with liberal | ||||
Depression | Day 30 post-operatively | No difference | ||||
1 year post-operatively | No difference | |||||
Hempenius, 201329 | Pre & Post | Standard care | Postoperative delirium | 10 days after surgery | No difference | |
Care Protocol: | Severity of delirium | 10 days after surgery | No difference | |||
Complications, >1 | 10 days after surgery | No difference | ||||
Individualized geriatric care plan | Mortality | In-hospital | No difference | |||
SF-36 score | Discharge | No difference | ||||
Care dependency | Assessed at discharge | No difference | ||||
Return to an independent living situation | Assessed at discharge | Worse with intervention | ||||
Additional care at home | Assessed at discharge | No difference | ||||
Length of stay | In-hospital | No difference | ||||
Hoogeboom, 201030 | Pre | Exercise | Standard care | Osteoarthritis Outcome Score | Week before surgery | No difference |
Longitudinal Aging Study Amsterdam Physical Activity Questionnaire | Week before surgery | No difference | ||||
Physical Working Capacity | Week before surgery | No difference | ||||
6-MWT | Week before surgery | No difference | ||||
Timed Up & Go Test | Week before surgery | No difference | ||||
Chair Rise Time | Week before surgery | No difference | ||||
Grip Strength | Week before surgery | No difference | ||||
Time needed to functional independence | In-hospital | No difference | ||||
Patient-Specific Complaints Questionnaire | Week before surgery | No difference | ||||
Length of stay | In-hospital | No difference | ||||
Indrakusuma, 201425 | Pre | Care Protocol: | Standard care | Mortality | 30 days post-operatively | No difference |
Nutrition supplements | Postoperative delirium | Not reported | No difference | |||
Cardiology consult | Postoperative complications | Not reported | No difference | |||
Blood transfusion | Length of stay | In-hospital | No difference | |||
Haloperidol prophylaxis | ||||||
Molino-Lova, 201134 | Post | Exercise | Usual aerobic exercise | Short Physical Performance Battery | 1 year | Better with intervention |
Oosting et al, 201231 | Pre | Exercise | Standard care | Timed Up & Go Test | 6 weeks post-discharge | No difference |
6-MWT | 6 weeks post-discharge | Better with intervention | ||||
Chair Rise Time | 6 weeks post-discharge | Better with intervetion | ||||
Hip disability and Osteoarthritis Outcome Score | 6 weeks post-discharge | No difference | ||||
Longitudinal Aging Study Amsterdam Physical Activity Questionnaire | 6 weeks post-discharge | No difference | ||||
Pain | 6 weeks post-discharge | No difference | ||||
Patient Specific Complaints Questionnaire | 6 weeks post-discharge | No difference | ||||
Opasich et al, 201032 | Post | Exercise | Traditional physiotherapy program | *Nursing needs | At discharge | Better with intervention |
Balance Performance Oriented Mobility Assessment | At discharge | Better with intervention | ||||
Timed Up & Go Test | At discharge | Better with intervention | ||||
Arm Curl | At discharge | Better with intervention | ||||
Chair Stand | At discharge | Better with intervention | ||||
6-MWT | At discharge | No difference | ||||
Health related quality of life | At discharge | No difference | ||||
Length of Stay | In-hospital | Shorter with intervention |
* Primary outcome not specified in study. 6-MWT: 6 minute walk test; ADL: activities of daily living; CRP: c-reactive protein; SF: short form
Bolded and underlined text = Primary outcomes
Bolded outcomes reached statistical significance