Effects of Home-Based Physical Exercise on Days at Home, Health Care Utilization, and Functional Independence Among Patients With Hip Fractures: A Randomized Controlled Trial

AbstractObjective To evaluate the effects of a physical exercise program on days lived at home, use and costs health care social services, mortality, functional independence among patients with hip fractures. Design Randomized controlled trial parallel 2-group design consisting 12-month intervention registry follow-up. Setting Home-based intervention. Participants Patients aged ≥60 years (N=121) operated fracture who were living home randomized into (n=61) usual (n=60) groups. Interventions Supervised twice week. Main Outcome Measures The primary outcome was number over 24 months. Secondary outcomes mortality months, Functional Independence Measure (FIM) 12 Results Over there no significant difference between groups in terms (incidence rate ratio, 1.01; 95% confidence interval [CI], 0.90-1.14) or (hazard CI, 0.42-2.43). mean total services did not differ per person-year 1.26-fold (95% 0.87-1.86) greater group than months 1.08-fold 0.77-1.70) change FIM 4.5 points 0.5-8.5; P=.029) favor group. Conclusions Long-term home-based had effect cost neutral these scores improved both but improvement significantly