Key result
A systematic review identified age, muscle strength, living arrangements, medications, oxygen, fracture type, Hb level, wait time, LOS, and dementia/depression as factors affecting hip fracture recovery.
Why the study?
What preoperative, perioperative, postoperative, and psychosocial factors hinder postsurgery hip fracture patients from returning to previous functionality?
Systematic Review
What preoperative, perioperative, postoperative, and psychosocial factors hinder postsurgery hip fracture patients from returning to previous functionality?
Multiple preoperative, perioperative, postoperative, and psychosocial factors, including age, muscle strength, and comorbidities, significantly impact functional recovery after hip fracture surgery.
May aid risk stratification after hip fracture; leaves open whether modifying identified factors improves recovery.
After hip fracture surgery, patients seldom return to their prefracture functional state and there is a 43% rate of mortality and institutionalisation of postsurgery hip fracture patients. A systematic literature review was conducted to identify preoperative, perioperative, postoperative, and psychosocial factors that may hinder postsurgery hip fracture patients from returning to previous functionality. Factors that were identified as being associated with postsurgical outcomes were age, muscle strength, prefracture living arrangements, number of daily medications taken, oxygen levels, fracture type and location, haemoglobin (Hb) level, wait time prior to surgery, length of hospital stay (LOS), and dementia or depression.
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Sydney et al. (2014) conducted a systematic review in Postsurgery hip fracture. Preoperative, perioperative, postoperative, and psychosocial factors was evaluated on Postsurgical outcomes (return to previous functionality). A systematic review identified age, muscle strength, living arrangements, medications, oxygen, fracture type, Hb level, wait time, LOS, and dementia/depression as factors affecting hip fracture recovery.
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