After hip fracture, more than a third of survivors needed more care within three years

The edition in brief

In 6,556 adults aged 75 or more who survived six months after hip fracture surgery in Kyoto, nonfatal worsening of care needs reached 10.6% at one year, 28.3% at two and 37.4% at three, and longer continuity of early rehabilitation was associated with less worsening, though not once deaths were included. A network meta-analysis of 60 trials found telerehabilitation and exergaming improved balance compared with no treatment, but none beat conventional exercise, and no trial measured falls. Across 11.8 million US hospital stays in adults over 65, interhospital transfer was associated with higher readmission and nearly double in-hospital mortality after adjustment. A trial of a low-intensity resource navigation service for dementia carers did not improve carer self-efficacy but was associated with fewer emergency visits among carers with social risks. US national survey data showed medicine use rising over two decades across all frailty levels, reaching 7.8 prescriptions on average in moderately to severely frail adults, driven by metabolic and psychotropic drugs.