Key result
Delayed ambulation after hip fracture surgery was associated with a significantly increased risk of 30-day mortality (adjusted OR 3.87; 95% CI 1.20-12.50; P=0.024) independent of age and comorbidities.
Why the study?
Delayed ambulation after hip fracture surgery is associated with increased mortality, but the magnitude of this effect accounting for preexisting comorbidities has not been quantified.
Does early ambulation reduce 30-day mortality in patients older than 65 years undergoing surgical fixation for hip fractures?
Population
218 patients older than age 65 years undergoing surgical fixation for low-energy hip fractures
Comparison
Ambulation vs no ambulation during the first 3 postoperative days
Design
Retrospective review
Follow-up
1 year
Authors
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Delayed ambulation associated with higher post-hip fracture mortality; hypothesis-generating and requires prospective confirmation before practice change.
Cohort (n=218)
Does early ambulation reduce 30-day mortality in patients older than 65 years undergoing surgical fixation for hip fractures?
Odds Ratio: 3.87 (95% CI 1.2–12.5)
p-value: p=0.024
Early ambulation after hip fracture surgery in patients over 65 is associated with a nearly four-fold decrease in 30-day mortality, independent of age and comorbidities.
Heiden et al. (2020) conducted a cohort in Hip fracture (n=218). Delayed ambulation (failure to ambulate in the first 3 postoperative days) vs. Early ambulation (within first 3 postoperative days) was evaluated on 30-day mortality (OR 3.87, 95% CI 1.20 to 12.50, p=0.024). Delayed ambulation after hip fracture surgery was associated with a significantly increased risk of 30-day mortality (adjusted OR 3.87; 95% CI 1.20-12.50; P=0.024) independent of age and comorbidities.
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