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  • In older patients with hip fracture, extended physiotherapy reduces falls compared with standard physiotherapy, and high dose cholecalciferol reduces hospital readmissions compared with lower dose

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Therapeutics
Randomised controlled trial
In older patients with hip fracture, extended physiotherapy reduces falls compared with standard physiotherapy, and high dose cholecalciferol reduces hospital readmissions compared with lower dose
  1. Kerrie M Sanders
  1. Department of Clinical and Biomedical Sciences, Barwon Health, The University of Melbourne, Geelong, Australia
  1. Correspondence to Kerrie M Sanders
    Department of Clinical and Biomedical Sciences, Barwon Health, The University of Melbourne, PO Box 281, Geelong 3220, Australia; kerrie{at}barwonhealth.org.au

https://doi.org/10.1136/ebm1107

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    Commentary on:

    1. Bischoff-Ferrari HA,
    2. Dawson-Hughes B,
    3. Platz A,
    4. et al
    . Effect of high-dosage cholecalciferol and extended physiotherapy on complications after hip fracture: a randomized controlled trial. Arch Intern Med 2010;170:813–20.
    OpenUrlCrossRefPubMedWeb of Science

    Context

    Among the older people, hip fractures are common and the consequences are severe. Despite this, evidence is lacking on effective interventions to reduce the high risk of increased morbidity and mortality following hip fracture. Bischoff-Ferrari and colleagues conducted a randomised controlled trial to determine the additive benefit of extended physiotherapy (PT) and vitamin D3 therapy on the rate of falls and hospital re-admissions in the first 12 months following hip fracture.

    Methods

    Following surgical repair of an acute hip fracture, 173 patients were randomised in a factorial study design to one of four groups: 2000 or 800 IU/day cholecalciferol, and extended home programme or standard care PT. The study was double-blinded for dosage of cholecalciferol and single-blinded for extended or standard care PT.

    Clinical visits were at 6 …

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    Footnotes

    • Competing interests None.