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    Conceptual Framework for an Episode of Rehabilitative Care after Surgical Repair of Hip Fracture

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    Author
    Sheehan, K.J.
    Smith, T.O.
    Martin, F.C.
    Date
    2019
    Journal
    Physical Therapy
    Publisher
    Oxford University Press
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1093/ptj/pzy145
    Abstract
    Researchers face a challenge when evaluating the effectiveness of rehabilitation after a surgical procedure for hip fracture. Reported outcomes of rehabilitation will vary depending on the end point of the episode of care. Evaluation at an inappropriate end point might suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this article is to describe a conceptual framework for a continuum-care episode of rehabilitation after a surgical procedure for hip fracture. Definitions are proposed for the index event, end point, and service scope of the episode. Challenges in defining the episode of care and operationalizing the episode, and next steps for researchers are discussed. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery end points. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes, enabling researchers to determine the true effectiveness of rehabilitation after a surgical procedure for hip fracture. Copyright 2019 American Physical Therapy Association.
    Keyword
    Evaluation
    Hip Fractures--surgery
    Hip Fractures--rehabilitation
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061976039&doi=10.1093%2fptj%2fpzy145&partnerID=40&md5=21b853de6f96f179216a90747737dda4; http://hdl.handle.net/10713/10580
    ae974a485f413a2113503eed53cd6c53
    10.1093/ptj/pzy145
    Scopus Count
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    UMB Open Access Articles 2019

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