Influence of mobilization and weight bearing on in-hospital outcome in geriatric patients with hip fractures

SICOT-J
Manuel BaerBernhard Ciritsis

Abstract

Early recovery of mobilization after a fracture of the hip is associated with improved long-term ability to walk, lower complication rates, and mortality. In this context, early mobilization and full weight bearing are favorable. The aim of this study was (1) to analyze the influence of time between operation and first mobilization on in-hospital outcome and (2) the influence of early mobilization, full weight bearing, and ASA on pain, mobility of the hip, and ability to walk during the in-hospital phase of recovery. This is a retrospective in-hospital study of 219 patients aged 70 years or older who were treated with surgery after a hip fracture. Data were collected by a review of medical records. The outcomes were mortality, complications, length of stay, and the Merle d'Aubigné score which evaluates pain, mobility of the hip, and ability to walk. Factors were sought in bivariate and multivariate analyses. A shorter time between operation and first mobilization was significantly associated with lower in-hospital mortality and complications. Early mobilization (within 24 h after the operation) and full weight bearing had no influence on pain, mobility of the hip, and ability to walk as well as length of stay in our cohort. Fra...Continue Reading

References

Oct 1, 1978·Anesthesiology·W D OwensE L Spitznagel
Jan 9, 2001·Journal of Orthopaedic Trauma·M R ShahK J Koval
Jul 23, 2002·Journal of the American Geriatrics Society·Elizabeth A EastwoodAlbert L Siu
Nov 25, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Hosam K KamelRaymond G Hoffmann
Jan 26, 2005·Journal of Orthopaedic Trauma·Yoshimi EndoKenneth J Koval
Apr 12, 2006·Archives of Internal Medicine·Albert L SiuR Sean Morrison
Jun 7, 2006·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Susan K BrennemanEthel S Siris
Jul 4, 2006·ANZ Journal of Surgery·Leonie B OldmeadowMichael J Bailey
Aug 1, 2006·The Journal of Bone and Joint Surgery. British Volume·G HoltA T Reece
Oct 23, 2008·Clinical Orthopaedics and Related Research·R Merle d'Aubigné, M Postel
Dec 9, 2008·British Journal of Anaesthesia·N B FossH Kehlet
Feb 26, 2009·Journal of Evaluation in Clinical Practice·Jane WuIan D Cameron
Jul 28, 2009·Age and Ageing·Domenico IntisoLuigi Pazienza
Apr 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Derek J DoneganSamir Mehta
Jun 8, 2012·The Journal of Trauma and Acute Care Surgery·Adam G MillerAlvin Ong
Jul 5, 2012·The Journal of Bone and Joint Surgery. American Volume·George Y LaflammeEric Beaumont
Jul 17, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Hilary C SiebensCraig S Radnay
Nov 28, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Morten Tange Kristensen
Mar 25, 2014·American Journal of Physical Medicine & Rehabilitation·Patrocinio Ariza-VegaMorten Tange Kristensen
Apr 12, 2014·Clinics in Geriatric Medicine·V Ana SanguinetiMindy J Fain
May 20, 2014·Best Practice & Research. Clinical Rheumatology·Lauren A BeaupreJay Magaziner
Feb 24, 2015·Archives of Physical Medicine and Rehabilitation·Patrocinio Ariza-VegaJose Juan Jiménez-Moleón
Jul 5, 2015·Journal of the American Medical Directors Association·Kilian RappGisela Büchele
Apr 19, 2017·Disability and Rehabilitation·Kristine H MünterMorten T Kristensen
Aug 11, 2017·International Orthopaedics·Christopher BliemelDaphne Eschbach
Sep 11, 2017·Revista española de cirugía ortopédica y traumatología·T Pareja SierraM Hornillos Calvo
Feb 9, 2018·Clinical Interventions in Aging·Konstantinos I AlexiouKonstantinos N Malizos

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Citations

Aug 22, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol
Apr 17, 2020·European Geriatric Medicine·José C Rodríguez-BocanegraMaría J Santi-Cano
Sep 30, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sabrina SandriesserPeter Augat
Oct 8, 2020·Journal of Orthopaedic Trauma·Atefeh NooriUNKNOWN HEALTH Investigators
Feb 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Christine M McDonoughKathleen Kline Mangione
May 1, 2021·International Journal of Environmental Research and Public Health·Cristina González de Villaumbrosia On Behalf Of The Participants In The Spanish National Hip Fracture Registry
May 22, 2021·The Journal of Bone and Joint Surgery. American Volume·Vera M StetzelbergerMoritz Tannast
Jun 27, 2021·Knee Surgery & Related Research·Oisin J F KeenanChloe E H Scott
Jul 22, 2021·Aging Clinical and Experimental Research·Antonio De VincentisUNKNOWN Istituto Superiore Sanità (ISS)
May 17, 2021·Journal of Orthopaedic Trauma·Luc RubingerHerman Johal

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