Geriatric rehabilitation as an integral part of geriatric medicine in the Nordic countries
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Hansen, Finn Rønholt
Jonsson, Palmi V
MetadataShow full item record
CitationDan Med Bull 2003, 50(4):439-45
AbstractOBJECTIVES: First, to outline the theoretical and practical framework for geriatric rehabilitation in the Nordic countries and second, to survey the scientific medical publications for evidence-based geriatric rehabilitation. METHODS: Brainstorming on geriatric rehabilitation in a working group of Nordic teachers in geriatric medicine. Papers on scientific programmes for geriatric rehabilitation from Internet sources were collected and analyzed. All articles describing randomized studies in geriatric rehabilitation were selected for meta-analyses. The papers were divided into four groups according to diseases, infirmity and resource settings: stroke, hip-fractures, acute admissions and programmes conducted in nursing homes, day hospitals and home services. RESULTS: The literature survey included 30 scientific studies (9496 patients) in randomized trials with valid endpoints. Geriatric rehabilitation programmes for stroke patients in geriatric settings (six papers, 1138 patients) reduced mortality and the need for nursing home placement, but the outcome for ADL function was not significantly changed. Function and length of stay varied between the studies. The outcome of geriatric rehabilitation was even more decisive in the randomized hip-fracture studies (seven articles, 2414 patients): the readmission rate and cost were significantly better. Ten studies were found, comparing the outcome of acute admissions of frail elderly patients (4683) with either geriatric (GEMU, GRU) or general medical wards. The effect of rehabilitation regarding mortality rate at one year, placement in a nursing home, physical function, contentment with services, readmission rate and cost was significant improvement in the geriatric settings. Internal comparisons of geriatric programmes in nursing homes, day hospitals and in-home services (seven studies, 1261 patient) revealed some differences in outcomes regarding function, contentment and costs. CONCLUSION: Specialized geriatric rehabilitation is complicated but effective when properly performed. Interdisciplinary teamwork, targeting of patients, comprehensive assessment and intensive and patient-targeted rehabilitation seem to characterize the most effective programmes. Rehabilitation of frail elderly people poses a major future challenge and has to be developed further for the sake of elderly people's quality of life as well as economic reasons.
- [Geriatric rehabilitation as an integral part of geriatric medicine in the nordic countries.].
- Authors: Jónsson A, Jónsson PV, Gustafsson Y, Schroll M, Hansen FR, Saarela M, Nygaard HA, Laake K, Valvanne J, Dehlin O
- Issue date: 2002 Jan
- A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital.
- Authors: Applegate WB, Miller ST, Graney MJ, Elam JT, Burns R, Akins DE
- Issue date: 1990 May 31
- A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department--the DEED II study.
- Authors: Caplan GA, Williams AJ, Daly B, Abraham K
- Issue date: 2004 Sep
- Geriatric work-up in the Nordic countries. The Nordic approach to comprehensive geriatric assessment.
- Authors: Sletvold O, Tilvis R, Jonsson A, Schroll M, Snaedal J, Engedal K, Schultz-Larsen K, Gustafson Y
- Issue date: 1996 Sep
- [Retrospective analysis of health variables in a Reykjavík nursing home 1983-2002 (corrected)].
- Authors: Jónsson A, Bernhöft I, Bernhardsson K, Jónsson PV
- Issue date: 2005 Feb