Abstract
Background: Dementia patients were reported of having high risk for hip fracture. Rehabilitation programs were still being debated for this vulnerable population and the recovery outcomes in this frail elderly population are varied, thus evidenced-based outcomes for this issue are needed.Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery.Method: PubMed, Scopus and MEDLINE (EBSCO) databases were searched from January 2000 to June 2020 concerning rehabilitation intervention program in dementia patients who received hip surgical treatment. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal.Results: Six studies were included in this review. Most study focused on interdisciplinary or multidisciplinary rehabilitation program. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. However, the physical function of older persons with dementia confirmed to be lower than those without dementia.Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study.
Highlights
Hip fracture is increasing as the aging population trend get bigger (Nations, 2020)
The studies were included in our research if they met the following criteria (1) investigating rehabilitation interventions program (2) there were restrictions on the study design, randomized controlled trials (RCTs) study design only, (3) evaluating at least physical function outcomes (4) the study included dementia patients following hip fracture surgery (5) English full-text journal
This review study informed that the rehabilitation program gave positive impact to this vulnerable population especially in early mobilization or ambulation
Summary
Hip fracture is increasing as the aging population trend get bigger (Nations, 2020). The worldwide hip fracture incidence is expected to rise for more than 4 million (Rapp et al, 2019), and projected over 50%of all hip fractures in Asia on 2050 (Cheung et al, 2018). Successful surgical treatment in older persons who have hip fracture surgery often result in permanent disability and dependency (Toussant & Kohia, 2005). Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study
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