ArticleCanadian journal of surgery. Journal canadien de chirurgie
Delayed mobilization following admission for hip fracture is associated with increased morbidity and length of hospital stay.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Article
- Predictive scoring system for independent walking disability after fragility hip fracture surgery: a multicenter study.Scientific reports · 2026Observational
- Article
- Frailty and femoral periprosthetic fractures around the hip: outcomes in nonagenarians.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- The waiting time of admission to operation was associated with preoperative deep vein thrombosis in geriatric hip fracture.Scientific reports · 2025Article
- Ready for discharge? Factors associated with prolonged length of stay following geriatric hip fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Association between early mobilization after hip fracture surgery and risk of long-term opioid therapy.European geriatric medicine · 2025Article
- Screening risk factors for the occurrence of wedge effects in intramedullary nail fixation for intertrochanteric fractures in older people via machine learning and constructing a prediction model: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Risk factors of postoperative complications and in-hospital mortality after hip fracture among patients older than 80 years old: a retrospective study.BMC surgery · 2025Article
- The relationship between intraoperative glucose levels and length of hospital stay in patients with a femoral neck fracture: a retrospective study based on the MIMIC-IV database.Frontiers in surgery · 2024Article
- Barriers to Discharge of Hip Fracture Patients From An Academic Hospital: A Retrospective Data Analysis.Geriatric orthopaedic surgery & rehabilitation · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent national guidelines on caring for hip fractures recommend early mobilization. However, this recommendation does not account for time spent immobilized waiting for surgery. We sought to determine timing of mobilization following hip fracture, beginning at hospital admission, and evaluate its association with medical complications and length of hospital stay (LOS).
methodsWe performed a retrospective review of prospectively collected data for 470 consecutive patients who underwent surgery for a hip fracture between September 2019 and August 2020 at an academic, tertiary-referral hospital. Outcomes of interest included time from hospital admission to mobilization, complication rate and LOS. We used a binary regression analysis to determine the effect of different surgical and patient factors on the risk of a postoperative medical complication.
resultsThe mean time from admission to mobilization was 2.8 ± 2.3 days (range 3 h-14 d). There were 125 (26.6%) patients who experienced at least 1 complication. The odds of developing a complication began to increase steadily once a patient waited more than 3 days from admission to mobilization (odds ratio 2.15, 95% confidence interval 1.42-3.25). Multivariate regression analysis showed that prefracture frailty (β = 0.276,
conclusionComprehensive guidelines on timing of mobilization following hip fracture should account for cumulative time spent immobilized.
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