Hip fractures are common and are associated with high mortality In the Netherlands hip fracture patients who cannot return home after surgery and inpatient rehabilitation, are temporarily admitted to regular nursing homes for outpatient rehabilitation before returning home. In 2006, the Surgical and Orthopaedic departments of the Leiden University Medical Center (LUMC) initiated collaboration with Topaz, a geriatric and rehabilitative care provider with 998 beds. This project was called the Transfer Unit (TU). The TU comprises 18 beds in one of the local Topaz nursing homes, reserved exclusively for LUMC patients. Hip fracture patients form the largest group within the TU.
The purpose of this study was retrospectively to evaluate the effectiveness of intensive rehabilitation in the TU following hip fracture surgery in terms of length of hospital stay, duration of rehabilitation and mortality; and thus provide preliminary data in support of this approach. All patients ≥ 18 years with a proximal femoral fracture, who had not sustained a previous fracture of the same joint and who were surgically treated in the LUMC were identified. Surgery was performed with identical operative procedures. Hip fracture patients were deemed to require rehabilitation and were assessed by the multidisciplinary team to be physically and mentally fit for intensive rehabilitation in the TU.