Early Ambulation After Hip Fracture Surgery Is Associated With Decreased 30-Day Mortality.

The Journal of the American Academy of Orthopaedic Surgeons
Jace J HeidenMatthew A Tao

Abstract

Hip fractures frequently present in complicated patients and are fraught with high morbidity and mortality rates. Postoperatively, delayed ambulation has been identified as a factor associated with increased mortality, although its magnitude has yet to be quantified. Therefore, this article aims to evaluate mortality after hip fracture surgery because it relates to early postoperative ambulation, taking into account preexisting comorbidity burden. This is a retrospective review of patients older than age 65 years who underwent surgical fixation for hip fractures because of a low-energy mechanism. Ambulation during the first 3 postoperative days was recorded along with age and preexisting comorbidity burden (Modified 5-Factor Frailty Index), and 30-day and 1-year mortality statuses were examined. Multivariable logistic regression was used to analyze the association between postoperative ambulation and mortality. Of 485 patients initially identified, 218 met the inclusion criteria. Overall mortality rates were 6.4% at 30 days and 18.8% at 1 year. Two-thirds of patients ambulated in the first 3 postoperative days versus one-third who did not. Patients who did not ambulate had both significantly increased 30-day mortality (odds rat...Continue Reading

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Citations

May 22, 2021·The Journal of Bone and Joint Surgery. American Volume·Vera M StetzelbergerMoritz Tannast
Jun 8, 2021·Archives of Orthopaedic and Trauma Surgery·Graham J DeKeyserJustin M Haller

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