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HIP4Hips (High Intensity Physiotherapy for Hip fractures in the acute hospital setting): a randomised controlled trial

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The known Early mobilisation and daily physiotherapy after hip fracture fixation are recommended by guidelines, but there is no evidence that guides the intensity of acute hospital physiotherapy for this patient population.

The new Intensive acute hospital physiotherapy following an isolated hip fracture reduced hospital length of stay by more than 10 days without increasing complication or re-admission rates.

The implications We have provided evidence-based support for intensive physiotherapy programs in the acute hospital setting after hip fracture. Our findings may have significant practical implications, given the large number of inpatient beds occupied by this patient group.

Rising rates of hip fracture in our ageing population and the consequently increasing costs of care are significant problems for the hospital system and the community.1 In Australia, 17 000 hip fractures in people aged 65 years or more incur direct hospital costs of $579 million each year,2 and it is projected that the annual number of hip fractures will rise to 60 000 by 2051.1 Costs continue to accrue after patients leave hospital, with about 25% requiring full-time nursing home care3,