Research article
Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial
Gary Naglie, Catherine Tansey, James L. Kirkland, Darryl J. Ogilvie-Harris, Allan S. Detsky, Edward Etchells, George Tomlinson, Keith O'Rourke and Barry Goldlist
CMAJ July 09, 2002 167 (1) 25-32;
Gary Naglie
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Catherine Tansey
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
James L. Kirkland
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Darryl J. Ogilvie-Harris
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Allan S. Detsky
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Edward Etchells
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
George Tomlinson
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Keith O'Rourke
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
Barry Goldlist
From *the Division of General Internal Medicine and Clinical Epidemiology, University Health Network and Mount Sinai Hospital, Toronto, Ont.; †the Geriatrics Program, Toronto Rehabilitation Institute, Toronto, Ont.; ‡the Clinical Epidemiology and Health Care Research Program (University Health Network Unit), University of Toronto, Toronto, Ont.; §the Department of Medicine, University of Toronto, Toronto, Ont.; ¶the Department of Health Administration, University of Toronto, Toronto, Ont.; **the Department of Medicine, Boston University, Boston, Mass. (current affiliation); ††the Division of Orthopedic Surgery, University Health Network, Toronto, Ont.; ‡‡the Department of Surgery, University of Toronto, Toronto, Ont.; §§the Department of Public Health Sciences, University of Toronto, Toronto, Ont.; ¶¶the Loeb Research Unit, Ottawa Hospital, Ottawa, Ont. (current affiliation); and ***the Department of Surgery, University of Ottawa, Ottawa, Ont. (current affiliation)
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Fig. 1: Flow of study participants through selection and intervention protocols. Interdisciplinary care consisted of routine postoperative surgical care plus daily medical care by an internist-geriatrician, and regular care by a physiotherapist, occupational therapist, social worker and clinical nurse specialist, as well as twice-weekly interdisciplinary rounds to set goals and monitor patients' progress. Usual care consisted of routine postoperative surgical care, with access to geriatric consultation and allied health care professionals if requested; access to occupational therapists and clinical nurse specialists was limited. R = randomization.
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Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial
Gary Naglie, Catherine Tansey, James L. Kirkland, Darryl J. Ogilvie-Harris, Allan S. Detsky, Edward Etchells, George Tomlinson, Keith O'Rourke, Barry Goldlist
CMAJ Jul 2002, 167 (1) 25-32;
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