Effectiveness of home visits following hip fracture

La Trobe University PhD candidate Kylee Lockwood is investigating what happens to patients who return to the community after hip fracture, and the role that a pre-discharge home visit from an occupational therapist can play in improving outcomes. 

Her research has shown that one in three patients at Eastern Health are readmitted within 12 months, and patients with lower levels of mobility prior to the fracture have twice the odds of being readmitted to hospital compared to those who were able to walk independently.

Kylee has gone on to conduct a randomised controlled trial involving 77 participants to compare the outcomes of patients who receive pre-discharge home visits with a group that received hospital discharge planning alone. Early results indicate that the patients who received home visits have fewer readmissions to hospital and fewer falls in the post discharge period.

Lockwood K, Taylor, NF, Boyd, JN, Harding, KE. Reasons for readmission to hospital after hip fracture: Implications for occupational therapy. . British Journal of Occupational Therapy. (in press).

http://journals.sagepub.com/doi/abs/10.1177/0308022618756000 

Lockwood K, Taylor N, Harding K. Pre-discharge home assessment visits in assisting patients' return to community living: A systematic review and meta-analysis. Journal of Rehabilitation Medicine. 2015;47(4):289-99.

https://www.ncbi.nlm.nih.gov/pubmed/25782842 

Lockwood KJ, Taylor NF, Boyd JN, Harding KE. Pre-discharge home visits by occupational therapists completed for patients following hip fracture. Aust Occup Ther J. 2016;64(1):41-8.

https://onlinelibrary.wiley.com/doi/abs/10.1111/1440-1630.12311