Meta-analysis: Effectiveness of Comprehensive Geriatric Care for Elderly Following Hip Fracture Surgery

被引：13
作者：
Lin, Shu-Ni [1 ]
Su, Shu-Fen [2 ]
Yeh, Wen-Ting [3 ]
机构：
[1] Minist Hlth & Welf, Taichung Hosp, Dept Nursing, Taichung, Taiwan
[2] Natl Taichung Univ Sci & Technol, Dept Nursing, Taichung, Taiwan
[3] Taichung Vet Gen Hosp, Dept Nursing, Taichung, Taiwan
来源：
WESTERN JOURNAL OF NURSING RESEARCH | 2020年 / 42卷 / 04期
关键词：
hip; elderly; comprehensive geriatric care; activities of daily living; hospital stay; mortality; institutional setting; RANDOMIZED CONTROLLED-TRIAL; INTERDISCIPLINARY INTERVENTION; TAIWANESE PATIENTS; OLDER TAIWANESE; SELF-CARE; REHABILITATION; MANAGEMENT; ORTHOGERIATRICS; MORTALITY; MOBILITY;
D O I：
10.1177/0193945919858715
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Hip fractures may increase mortality and decrease mobility in elderly patients. Effectiveness of comprehensive geriatric care (CGC) has not been verified. A systematic review and a meta-analysis were conducted by searching full-text databases (1988-2018) of Cochrane Library, Clinical Key, Embase, MEDLINE, CINAHL, and ProQuest for randomized controlled trials (RCTs) of CGC following hip fractures. Outcome measures were mortality, activities of daily living, hospital stay, and discharge to institutional setting. Cochrane RoB 2.0, Jadad Quality Score, and Group Reading Assessment were used for analysis. Of the 11 studies included, 8 examined mortality (effect size Z = 2.51, p = 0.01), 5 examined daily activities (effect size Z = 3.31, p = 0.0009), 7 examined length of hospital stay (effect size Z = 0.18, p = 0.85), and 5 examined discharged to an institutional setting (effect size Z = 0.81, p = 0.42). Results showed that CGC decreased mortality and improved daily living activities.
引用
收藏
页码：293 / 305
页数：13
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