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Multidisciplinary Inpatient Community Rehabilitation Programmes for Frail Older People: A Scoping Review.

Muireann McDonnell, Mary Bell, Fiona Lawler and 2 others

PMID 39546406

WHAT IT FOUND

Multidisciplinary inpatient rehabilitation for frail older people is reported in few studies, mostly focused on mobility and function.

The intervention studies had no control group, and outcomes varied widely, so the review cannot show which programme works.

Key findings

01The review found only four included articles reporting multidisciplinary inpatient rehabilitation programmes for frail older people.

02The three intervention studies had no control group, limiting confidence that changes were due to the programme.

03The programmes were mainly focused on physical functionality, with limited evidence of nursing, social work, spiritual or pharmacological care input.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs

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What it does not show

The review did not assess the methodological quality or risk of bias of the included studies. The three intervention studies had no control group, so changes could reflect recovery, other care or measurement variation. The included programmes used different rehabilitation components, lengths of stay, outcome measures and timing of follow-up. They cannot be compared directly. Frailty was not defined or measured consistently, and some studies did not report how frailty was measured. The search was limited to English and to January 2010 to August 2022, so relevant programmes may have been missed. The article reports four included articles in the selection section but Table 2 describes five included studies. The evidence base is unclear. Attrition and death were substantial where reported, and attrition was not reported in the Finnish study.

Declared interests

The authors declare no conflicts of interest. Funding is not reported.

The easy way to misread this

Do not conclude that multidisciplinary inpatient rehabilitation improves frail older people's outcomes. The review found four included articles, the intervention studies had no control group, and outcomes varied, so reported changes cannot be attributed to the programme.

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