ClinicalHospital-based MDR (GORU/MARU)

There is a statistically significant and clinically significant reduction in pressure sores with hospital-based MDR (GORU/MARU) compared to usual care. (HIGH QUALITY)

There is a statistically significant, but not clinically significant improvement in recovery of activities of daily living at 1 year with hospital-based MDR (GORU/MARU) compared to usual care. (MODERATE QUALITY)

There is a statistically significant, but not clinically significant improvement in transfers (bed to chair) and being more dependent (Katz index) at 1 year with hospital-based MDR (GORU/MARU) compared to usual care. (LOW QUALITY)

There is a statistically significant, but not and clinically significant reduction in severe delirium with hospital-based MDR (GORU/MARU) compared to usual care. (LOW QUALITY)

There is no statistically significant difference in mortality at 6 months and functional outcomes at 6 months between hospital-based MDR (GORU/MARU) and usual care. (MODERATE QUALITY)

There is no statistically significant difference in mortality at 12 months and mortality at discharge between hospital-based MDR (GORU/MARU) and usual care. (MODERATE QUALITY)

There is no statistically significant difference in length of hospital stay and readmission to hospital between hospital-based MDR (GORU/MARU) and usual care. (LOW QUALITY)

Hip fracture programme (HFP)

There is a statistically significant and clinically significant improvement in functional outcomes at 1 year with HFP compared to usual care. (MODERATE QUALITY)

There is a statistically significant and clinically significant reduction in mortality at discharge between HFP and usual care. (LOW QUALITY)

There is no statistically significant difference in mortality at 12 months and readmission to hospital, between HFP and usual care. (MODERATE QUALITY)

There is no statistically significant difference in length of hospital stay, between HFP and usual care. (LOW QUALITY)
EconomicHFP is the dominant strategy (less costly and more effective) than both GORU/MARU and usual care as a hospital based multidisciplinary rehabilitation of hip fracture patients. This evidence has minor limitations and direct applicability.

From: 12, Multidisciplinary management

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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