ArticleAge and ageing2021
Discharge after hip fracture surgery by mobilisation timing: secondary analysis of the UK National Hip Fracture Database.
Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of evidence regarding the association between time to mobilization following hip fracture surgery and patient outcomes.Bone & joint open · 2025Pooled it
- Pooled it
- Review
- Influences of Pre-fracture Mobility and Early Mobility on Healthcare Outcome Measures in Older Patients Undergoing Hip Fracture Surgery.Calcified tissue international · 2026Article
- Combining forces in dual certified centers of geriatric trauma/joint replacement according to the German trauma society (DGU)/endocert improves mobility and quality of life in elderly patients with femoral neck fractures: an analysis from the registry for geriatric trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Predictors of immobility following surgery for periprosthetic hip fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Efficacy of Injectable Calcium Composite Bone Substitute Augmentation for Osteoporotic Intertrochanteric Fractures: A Prospective, Non-Randomized Controlled Study.Journal of clinical medicine · 2025Article
- Association between early mobilization after hip fracture surgery and risk of long-term opioid therapy.European geriatric medicine · 2025Article
- Impact of early postoperative ambulation on gait recovery after hip fracture surgery: a multicenter cohort study.Scientific reports · 2025Article
- Ambulation recovery prediction after hip fracture surgery using the Hip Fracture Short-Term Ambulation Prediction tool.Journal of rehabilitation medicine · 2024Article
- What factors affect early mobilisation following hip fracture surgery: a scoping review.BMJ open quality · 2024Article
- Article
- Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.Journal of clinical medicine · 2023Article
- Orthopaedic Out of Bed Project (OOBP): improving early mobilisation following femoral fracture using a therapy-led education programme.BMJ open quality · 2023Article
- Development and Validation of Multivariable Prediction Models for In-Hospital Death, 30-Day Death, and Change in Residence After Hip Fracture Surgery and the "Stratify-Hip" Algorithm.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Time to surgery after proximal femur fracture in geriatric patients depends on hospital size and provided level of care: analysis of the Registry for Geriatric Trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- A standardized clinical pathway for hip fracture patients is associated with reduced mortality: data from the Norwegian Hip Fracture Register.European geriatric medicine · 2023Article
- Hip fracture management in the emergency department and its impact on hospital outcomes: a retrospective cross-sectional analysis.European geriatric medicine · 2022Article
- The influence of weight-bearing status on post-operative mobility and outcomes in geriatric hip fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Barbed Sutures for Total Hip and Knee Arthroplasty Have Shorter Wound Closure Time and are Cost-Effective in Comparison to Traditional Sutures: A Systematic Review and Meta-analysis of 16 Randomized Controlled Trials.Indian journal of orthopaedics · 2022Article
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Abstract
objectiveTo determine whether mobilisation timing was associated with the cumulative incidence of hospital discharge by 30 days after hip fracture surgery, accounting for potential confounders and the competing risk of in-hospital death.
methodWe examined data for 135,105 patients 60 years or older who underwent surgery for nonpathological first hip fracture between 1 January 2014 and 31 December 2016 in any hospital in England or Wales. We tested whether the cumulative incidences of discharge differed between those mobilised early (within 36 h of surgery) and those mobilised late, accounting for potential confounders and the competing risk of in-hospital death.
resultsA total of 106,722 (79%) of patients first mobilised early. The average rate of discharge was 39.2 (95% CI 38.9-39.5) per 1,000 patient days, varying from 43.1 (95% CI 42.8-43.5) among those who mobilised early to 27.0 (95% CI 26.6-27.5) among those who mobilised late, accounting for the competing risk of death. By 30-day postoperatively, the crude and adjusted odds ratios of discharge were 2.36 (95% CI 2.29-2.43) and 2.08 (95% CI 2.00-2.16), respectively, among those who first mobilised early compared with those who mobilised late, accounting for the competing risk of death.
conclusionEarly mobilisation led to a 2-fold increase in the adjusted odds of discharge by 30-day postoperatively. We recommend inclusion of mobilisation within 36 h of surgery as a new UK Best Practice Tariff to help reduce delays to mobilisation currently experienced by one-fifth of patients surgically treated for hip fracture.
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