Evidence map›Paper›PMID 38619122›Full record

ArticleAge and ageing2024

Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study.

Ruqayyah Y Turabi, Katie J Sheehan, Stefanny Guerra, Matthew D L O'Connell, David Wyatt

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

Ruqayyah Y TurabiDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.ORCID 0000-0001-6439-6276
Katie J SheehanDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.ORCID 0000-0002-5325-7454
Stefanny GuerraDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.
Matthew D L O'ConnellDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.
David WyattDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.ORCID 0000-0001-5859-7389
King's College London · GBQueen Mary University of London · GB

Funding

Jazan UniversityMinistry of Education in Saudi Arabia
6 · The paper itself

Abstract

objectiveTo explore the practice of prescribing and implementing early mobilisation and weight-bearing as tolerated after hip fracture surgery in older adults and identify barriers and facilitators to their implementation.

methodsSemi-structured interviews were conducted with 20 healthcare providers (10 orthopaedic surgeons and 10 physiotherapists) from Saudi Arabian government hospitals. Data were analysed using inductive thematic analysis.

resultsWhile early mobilisation and weight-bearing as tolerated were viewed as important by most participants, they highlighted barriers to the implementation of these practices. Most participants advocated for mobility within 48 h of surgery, aligning with international guidance; however, the implementation of weight-bearing as tolerated was varied. Some participants stressed the type of surgery undertaken as a key factor in weight-bearing prescription. For others, local protocols or clinician preference was seen as most important, the latter partially influenced by where they were trained. Interdisciplinary collaboration between orthopaedic surgeons and physiotherapists was seen as a crucial part of postoperative care and weight-bearing. Patient and family member buy-in was also noted as a key factor, as fear of further injury can impact a patient's adherence to weight-bearing prescriptions. Participants noted a lack of standardised postoperative protocols and the need for routine patient audits to better understand current practices and outcomes.

conclusionThis study contributes to national and global discussions on the prescription of early mobilisation and weight-bearing as tolerated. It highlights the necessity for a harmonised approach, incorporating standardised, evidence-based protocols with patient-specific care, robust healthcare governance and routine audits and monitoring for quality assurance and better patient outcomes.

Indexed as

Early AmbulationHip FracturesAgedHumansPostoperative CareQualitative ResearchSaudi Arabiafactorsinterview studymobilisation timingneck of femur fractureolder peopleorthogeriatricprecautionsqualitative researchrehabilitation

Identifiers

PMID38619122
PMCPMC11017516
OpenAlexW4394819806

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.