{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T05:11:37Z","timestamp":1735362697924,"version":"3.32.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether enhanced daily weekend physiotherapy (EWP) for patients with hip fracture was associated with improved clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analysed all previously ambulatory adults admitted with hip fracture to our tertiary hospital, comparing \u2018usual\u2019 (\u2018control\u2019) care (09\/19\u201303\/20) to EWP (09\/20\u201303\/21). Outcomes included Day\u20107 mobility \u226520\u2009m (primary), additional mobility measures, specified postoperative complications, new residential facility placement, acute length\u2010of\u2010stay (LOS) and 30\u2010day death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Amongst 235 eligible patients (128 control, 107 EWP), 66% were female, mean age was 80.4\u2009years (SD 10.5), 20% from residential care and 49% (114\/235) were mobilising without aid at baseline (no between\u2010group differences; all <jats:italic>p<\/jats:italic>\u2009\u2265\u2009.20). Median acute LOS was 10\u2009days (IQR 6\u201315), total hospital LOS was 21\u2009days (IQR 12\u201337) and 3% (<jats:italic>n<\/jats:italic>\u2009=\u20096) died by Day 30. Median Day\u20107 distance mobilised was 25\u2009m (IQR 7\u201350) with EWP versus 10\u2009m (3\u201340) (<jats:italic>p<\/jats:italic>\u2009=\u2009.06). No EWP patients developed pressure injury (0 vs. 6, <jats:italic>p<\/jats:italic>\u2009=\u2009.02); other outcomes were similar between groups. Adjusting for age, residence, baseline cognitive impairment, American Society of Anesthesiologist score and preadmission mobilisation without aids, EWP was independently associated with increased likelihood of mobilising \u226520\u2009m at Day 7 (aOR 1.83, 95% CI 1.04\u20133.23, <jats:italic>p<\/jats:italic>\u2009=\u2009.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Enhanced daily weekend physiotherapy was associated with improvement in early mobility, but not other outcomes assessed. These data would be strengthened by randomised controlled trial data exploring more intense physiotherapy, cost\u2013benefit analysis and patient experience measures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13317","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T06:25:56Z","timestamp":1716359156000},"page":"700-705","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Introduction of enhanced weekend physiotherapy for patients with hip fracture is associated with improved early mobility outcomes"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-9718","authenticated-orcid":false,"given":"Danielle","family":"N\u00ed Chr\u00f3in\u00edn","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine Liverpool Hospital  Liverpool New South Wales Australia"},{"name":"South Western Sydney Clinical School UNSW Sydney  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine  Campbelltown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynette","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lieu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Jennings","sequence":"additional","affiliation":[{"name":"South Western Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anubhav","family":"Katyal","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Liverpool New South Wales Australia"},{"name":"Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Mahmood","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Liverpool New South Wales Australia"},{"name":"Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Boey","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Liverpool New South Wales Australia"},{"name":"Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Tcharkhedian","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Liverpool Hospital  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"National Institute for Health and Care Excellence.Hip fracture in adults' NICE quality standard.2016. Accessed August 25 2023.https:\/\/www.nice.org.uk\/guidance\/QS16\/documents\/draft\u2010quality\u2010standard\u20102"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u205006.w2103"},{"key":"e_1_2_10_4_1","unstructured":"Australian Institute of Health and Welfare.Hip fracture care pathways in Australia. Catalogue number PHE 336 AIHW Australian Government.2023. Accessed January 17 2024.https:\/\/www.aihw.gov.au\/getmedia\/dc202a83\u2010d8b2\u20104477\u20109bbc\u20106890ed2e226c\/aihw\u2010phe\u2010336.pdf?v=20231109101112&inline=true"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0332-0"},{"key":"e_1_2_10_6_1","unstructured":"Australian Commission on Quality and Safety I Healthcare.Hip fracture clinical care standard.2023. Accessed January 19 2024.https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2023\u201009\/hip\u2010fracture\u2010clinical\u2010care\u2010standard\u20102023.pdf"},{"key":"e_1_2_10_7_1","unstructured":"Agency for Clinical Innovation.Leading better value care \u2013 Hip fracture care. Accessed August 25 2023.https:\/\/aci.health.nsw.gov.au\/statewide\u2010programs\/lbvc\/hip\u2010fracture\u2010care"},{"key":"e_1_2_10_8_1","unstructured":"Agency for Clinical Innovation NSW Health.Orthogeriatric hip fracture care: clinical practice guide. Sydney.2023. Accessed January 17 2024.https:\/\/aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0009\/828531\/ACI\u2010Orthogeriatric\u2010hip\u2010fracture\u2010care\u2010clinical\u2010practice\u2010guide.pdf"},{"key":"e_1_2_10_9_1","unstructured":"Australian and New Zealand Hip Fracture Registry (ANZHFR).Australian and New Zealand guideline for hip fracture care.2014. Accessed November 24 2024.https:\/\/anzhfr.org\/wp\u2010content\/uploads\/sites\/1164\/2021\/12\/ANZ\u2010Guideline\u2010for\u2010Hip\u2010Fracture\u2010Care.pdf"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00091"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/M22-3679"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz014"},{"key":"e_1_2_10_13_1","unstructured":"Australian and New Zealand Hip Fracture Registry (ANZHFR).Annual report.2023. Accessed January 17 2024.https:\/\/anzhfr.org\/wp\u2010content\/uploads\/sites\/1164\/2023\/09\/ANZHFR\u20102023\u2010Annual\u2010Report\u2010%E2%80%93\u2010eReport\u2010%E2%80%93\u2010FINAL.pdf"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.1974107"},{"key":"e_1_2_10_15_1","first-page":"111","article-title":"New classification of physical status","volume":"24","author":"American Society of Anesthesiologists","year":"1963","journal-title":"Anesthesiology"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13326"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1142\/S1013702521500104"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-22-00117"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-20-891"},{"key":"e_1_2_10_20_1","unstructured":"Office for Health Improvement and Disparities UK Government.Guidance: before\u2010and\u2010after studies: comparative studies.2020. Accessed November 24 2023.https:\/\/www.gov.uk\/guidance\/before\u2010and\u2010after\u2010study\u2010comparative\u2010studies"},{"key":"e_1_2_10_21_1","unstructured":"Australian New Zealand Clinical Trials registry registration number: ACTRN12622001442796. Accessed October 5 2023.https:\/\/www.anzctr.org.au\/TrialSearch.aspx"}],"container-title":["Australasian Journal on Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.13317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T05:39:07Z","timestamp":1735277947000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajag.13317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,21]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/ajag.13317"],"URL":"https:\/\/doi.org\/10.1111\/ajag.13317","archive":["Portico"],"relation":{},"ISSN":["1440-6381","1741-6612"],"issn-type":[{"type":"print","value":"1440-6381"},{"type":"electronic","value":"1741-6612"}],"subject":[],"published":{"date-parts":[[2024,5,21]]},"assertion":[{"value":"2023-12-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}