Key result
Mobilization on the day of surgery for hip fractures reduced median length of stay to 4.0 days versus 5.0 days for nonmobilized patients (P=0.0158).
Why the study?
It was unclear whether physical therapy evaluation on the day of surgery impacts length of stay in patients undergoing surgery for hip fractures.
Does mobilization on the day of surgery reduce length of stay in adult patients with hip fractures requiring surgery?
Cohort (n=528)
Does mobilization on the day of surgery reduce length of stay in adult patients with hip fractures requiring surgery?
Mobilization on the day of surgery for hip fractures significantly reduces hospital length of stay and increases the likelihood of being discharged home.
Early mobilization was associated with shorter stay after hip fracture surgery; hypothesis-generating and requires randomized confirmation before practice change.
This study examined whether evaluation by physical therapy on the day of surgery impacts length of stay in patients with hip fractures. A total of 528 adult patients with hip fracture requiring surgery were prospectively included in the study over a 22-month period. The median length of stay of mobilized patients was 4.0 days, vs 5.0 days in nonmobilized patients (P = 0.0158). Of the 259 mobilized patients, 64 were discharged home (24.71%) vs 47 (17.84%) in the nonmobilized cohort (P = 0.0434), with no increase in readmission rates. In conclusion, mobilization on the day of surgery reduced length of stay by 1 day, with a higher percentage of patients being discharged home.
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Rizkalla et al. (2022) conducted a cohort in Hip fracture requiring surgery (n=528). Mobilization on the day of surgery vs. No mobilization on the day of surgery was evaluated on Length of stay (p=0.0158). Mobilization on the day of surgery for hip fractures reduced median length of stay to 4.0 days versus 5.0 days for nonmobilized patients (P=0.0158).
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