Key result
In patients ≥55 years undergoing hip fracture surgery, ability to ambulate on postoperative day 1 was associated with significantly lower 1-year mortality (6.9% vs 14.6%, p<0.001).
Why the study?
To investigate whether early postoperative ambulation metrics affect hospital quality measures and 1-year outcomes in patients undergoing operative treatment for hip fracture.
Does ambulation on postoperative day 1 improve hospital quality measures and 1-year outcomes in patients 55 years or older undergoing hip fracture surgery?
Population
1044 hip fracture patients aged 55 years or older undergoing operative treatment
Comparison
Postoperative day 1 ambulators vs non-ambulators
Design
Consecutive cohort study
Follow-up
1-year
Authors
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Early ambulation after hip fracture surgery was associated with lower mortality; does not establish causality and warrants randomized confirmation.
Cohort (n=1,044)
Does ambulation on postoperative day 1 improve hospital quality measures and 1-year outcomes in patients 55 years or older undergoing hip fracture surgery?
Absolute Event Rate: 6.9% vs 14.6%
p-value: p=<0.001
Failure to ambulate on postoperative day 1 after hip fracture surgery is associated with increased in-hospital complications, length of stay, and 1-year mortality.
Fisher et al. (2022) conducted a cohort in Operative hip fracture (n=1,044). Ambulation on postoperative day 1 vs. Inability to ambulate on postoperative day 1 was evaluated on 1-year mortality (p=<0.001). In patients ≥55 years undergoing hip fracture surgery, ability to ambulate on postoperative day 1 was associated with significantly lower 1-year mortality (6.9% vs 14.6%, p<0.001).
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