ArticleThe bone & joint journal2021
The 30-day survival and recovery after hip fracture by timing of mobilization and dementia : a UK database study.
Article in The bone & joint journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06212622 (Is the Rate of Early Mobilisation in Hip Fracture Patients Using Alfentanil Better Than Standard Opioid Analgesia), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Is the Rate of Early Mobilisation in Hip Fracture Patients Using Alfentanil Better Than Standard Opioid Analgesia (REHAB): a Prospective Cohort Study
Who cites it
33 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
- Effectiveness of community-based rehabilitation interventions incorporating outdoor mobility on ambulatory ability and falls-related self-efficacy after hip fracture: a systematic review and meta-analysis.Archives of osteoporosis · 2021Pooled it
- Preoperative antithrombotic use is associated with delayed mobilization and plural blood transfusions following hip fracture surgery: a case-control study.European geriatric medicine · 2026Article
- Article
- Postoperative prognostic factors for inability to walk at 6 weeks after fragility hip fracture surgery: A retrospective cohort study.Biomedical reports · 2026Article
- Factors Predicting Ambulatory Status at Discharge After Fragility Hip Fracture Surgery: A Retrospective Cohort Study.Medical sciences (Basel, Switzerland) · 2025Article
- Recovery Trajectories of Motor Function After Hip Fracture Surgery in Older Patients: A Multicenter Growth Mixture Modeling Study in Acute Care Hospitals.Geriatrics (Basel, Switzerland) · 2025Article
- Characterisation and evaluation of early mobilisation interventions after emergency laparotomy surgery: a scoping review.BJA open · 2025Review
- Article
- No benefit in biomarkers assessing muscle damage for minimally invasive anterior over SPAIRE approach in hemiarthroplasty : a subgroup analysis with 100 patients from a randomized controlled trial.Bone & joint open · 2025Article
- Disparities in the Diagnosis and Treatment of Osteoporosis in Persons with Cognitive Impairment and Dementia.Current osteoporosis reports · 2025Review
- One-Year Functional Outcomes Following Geriatric Hip Fracture: A Prospective Cohort Analysis.Orthopaedic surgery · 2025Article
- Ready for discharge? Factors associated with prolonged length of stay following geriatric hip fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectives.European geriatric medicine · 2025Article
- Impact of early postoperative ambulation on gait recovery after hip fracture surgery: a multicenter cohort study.Scientific reports · 2025Article
- Effect of Early Mobilization on Gait Recovery One Year After Hip Fracture Surgery: A Single-Center Cohort Study.Cureus · 2025Article
- Non-unions and wound infections do not differ following intramedullary nailing and plate osteosynthesis for distal third femur fractures: a meta-analysis.EFORT open reviews · 2024Article
- Boosting inpatient exercise after hip fracture using an alternative workforce: a mixed methods implementation evaluation.BMC geriatrics · 2024Article
- Variation in care and outcomes for people after hip fracture with and without cognitive impairment; results from the Australian and New Zealand Hip Fracture Registry.The journal of nutrition, health & aging · 2024Article
- What factors affect early mobilisation following hip fracture surgery: a scoping review.BMJ open quality · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study to compare 30-day survival and recovery of mobility between patients mobilized early (on the day of, or day after surgery for a hip fracture) and patients mobilized late (two days or more after surgery), and to determine whether the presence of dementia influences the association between the timing of mobilization, 30-day survival, and recovery.
methodsAnalysis of the National Hip Fracture Database and hospital records for 126,897 patients aged ≥ 60 years who underwent surgery for a hip fracture in England and Wales between 2014 and 2016. Using logistic regression, we adjusted for covariates with a propensity score to estimate the association between the timing of mobilization, survival, and recovery of walking ability.
resultsA total of 99,667 patients (79%) mobilized early. Among those mobilized early compared to those mobilized late, the weighted odds ratio of survival was 1.92 (95% confidence interval (CI) 1.80 to 2.05), of recovering outdoor ambulation was 1.25 (95% CI 1.03 to 1.51), and of recovering indoor ambulation was 1.53 (95% CI 1.32 to 1.78) by 30 days. The weighted probabilities of survival at 30 days post-admission were 95.9% (95% CI 95.7% to 96.0%) for those who mobilized early and 92.4% (95% CI 92.0% to 92.8%) for those who mobilized late. The weighted probabilities of regaining the ability to walk outdoors were 9.7% (95% CI 9.2% to 10.2%) and indoors 81.2% (95% CI 80.0% to 82.4%), for those who mobilized early, and 7.9% (95% CI 6.6% to 9.2%) and 73.8% (95% CI 71.3% to 76.2%), respectively, for those who mobilized late. Patients with dementia were less likely to mobilize early despite observed associations with survival and ambulation recovery for those with and without dementia.
conclusionEarly mobilization is associated with survival and recovery for patients (with and without dementia) after hip fracture. Early mobilization should be incorporated as a measured indicator of quality. Reasons for failure to mobilize early should also be recorded to inform quality improvement initiatives. Cite this article:
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