A study was performed to assess the impact of intensive inpatient rehabilitation on the outcome after a @entity174 of the femoral neck or an intertrochanteric @entity174 . Before 1990, our hospital did not have an inpatient rehabilitation program. On January 1, 1990, a diagnosis-related-group-exempt (DRG-exempt) acute rehabilitation program was initiated. @entity1 were discharged to this program after evaluation by a staff physiatrist. Before 1990, twenty-seven (9.0 per cent) of 301 @entity1 were discharged to an outside rehabilitation facility. After January 1990, the percentage of @entity1 who were discharged to the DRG-exempt program increased yearly, from nineteen (17 per cent) of 113 @entity1 in 1990 to forty-one (64 per cent) of sixty-four @entity1 in 1993; this difference was significant (p < 0.01). Before 1990, the average duration of the stay in the hospital was 21.9 days. After January 1990, the average duration for the @entity1 who did not enter the rehabilitation program was 20.0 days whereas the average duration for those who did was 31.4 days (16.1 days for acute care and 15.6 days for the rehabilitation program). There were no differences in the hospital discharge status or in the walking ability, place of residence, need for home assistance, or independence in basic and instrumental activities of daily living at the six and twelve-month follow-up examinations between @entity1 who had been managed before initiation of the rehabilitation program and those managed after it or between @entity1 who had been discharged to this program after its initiation and those who had not. These results raise serious questions regarding the global cost-effectiveness of these programs for @entity1 who have had a @entity174 of the femoral neck or an intertrochanteric @entity174 .

Effect of acute inpatient rehabilitation on outcome after XXXX of the femoral neck or intertrochanteric @entity174 .

@entity1 :: ('9606', 'Species') :: ['patients', 'Patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
