Evidence map›Paper›PMID 39044173›Full record

Observational studyBMC geriatrics2024

Rehabilitation after surgery for hip fracture - the impact of prompt, frequent and mobilisation-focused physiotherapy on discharge outcomes: an observational cohort study.

Daniel Siminiuc, Oya Gumuskaya, Rebecca Mitchell, Jack Bell, Ian D Cameron, Jamie Hallen, Karen Birkenhead, Sarah Hurring, Brett Baxter, Jacqueline Close and 7 more

Abstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
  2. Pooled it
  3. Data resource profile: Australian and New Zealand Hip Fracture Registry (ANZHFR).Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026
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  10. Does early surgery within 48 hours improve clinical outcomes in elderly hip fractures? A matched cohort study of 1776 hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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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

17 authors.

Daniel SiminiucSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Level 7 D18Western Avenue NSW 2006, Camperdown, Australia.
Oya GumuskayaSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Level 7 D18Western Avenue NSW 2006, Camperdown, Australia.
Rebecca MitchellAustralian Institute of Health Innovation, Macquarie University, Macquarie Park, NSW, 2109, Sydney, Australia.
Jack BellAllied Health Research Collaborative, The Prince Charles Hospital, QLD, 4032, Chermside, Australia.
Ian D CameronFaculty of Medicine and Health, John Walsh Centre for Rehabilitation Research, Kolling Institute, Northern Sydney Local Health Districtand, University of Sydney, NSW, 2064, St Leonards, Australia.
Jamie HallenNeuroscience Research Australia, University of New South Wales, NSW, 2031, Randwick, Australia.
Karen BirkenheadSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Level 7 D18Western Avenue NSW 2006, Camperdown, Australia.
Sarah HurringTe Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.
Brett BaxterPhysiotherapy Department, Princess Alexandra Hospital, QLD, 4102, Woolloongabba, Australia.
Jacqueline CloseNeuroscience Research Australia, University of New South Wales, NSW, 2031, Randwick, Australia.
Katie J SheehanBone & Joint Health, Blizard Institute, Queen Mary University of London, London, UK.
Antony JohansenSchool of Medicine, University Hospital of Walesand, Cardiff University, Cardiff, UK.
Mellick J ChehadeDiscipline of Orthopaedics and Trauma, Royal Adelaide Hospital, The University of Adelaide, Adelaide, SA, 5005, Australia.
Catherine SherringtonInstitute for Musculoskeletal Health, The University of Sydneyand, Sydney Local Health District, Gadigal Land, NSW, 2006, Sydney, Australia.
Zsolt J BaloghDepartment of Traumatology, Trauma and Injury Research Program, John Hunter Hospital and University of Newcastle, Hunter Medical Research Institute, NSW, Newcastle, Australia.
Morag E TaylorNeuroscience Research Australia, University of New South Wales, NSW, 2031, Randwick, Australia.
Mitchell SarkiesSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Susan Wakil Health Building, Level 7 D18Western Avenue NSW 2006, Camperdown, Australia. mitchell.sarkies@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the relationship between three postoperative physiotherapy activities (time to first postoperative walk, activity on the day after surgery, and physiotherapy frequency), and the outcomes of hospital length of stay (LOS) and discharge destination after hip fracture.

methodsA cohort study was conducted on 437 hip fracture surgery patients aged ≥ 50 years across 36 participating hospitals from the Australian and New Zealand Hip Fracture Registry Acute Rehabilitation Sprint Audit during June 2022. Study outcomes included hospital LOS and discharge destination. Generalised linear and logistic regressions were used respectively, adjusted for potential confounders.

resultsOf 437 patients, 62% were female, 56% were aged ≥ 85 years, 23% were previously living in a residential aged care facility, 48% usually walked with a gait aid, and 38% were cognitively impaired prior to their injury. The median acute and total LOS were 8 (IQR 5-13) and 20 (IQR 8-38) days. Approximately 71% (n = 179/251) of patients originally living in private residence returned home and 29% (n = 72/251) were discharged to a residential aged care facility. Previously mobile patients had a higher total LOS if they walked day 2-3 (10.3 days; 95% CI 3.2, 17.4) or transferred with a mechanical lifter or did not get out of bed day 1 (7.6 days; 95% CI 0.6, 14.6) compared to those who walked day 1 postoperatively. Previously mobile patients from private residence had a reduced odds of return to private residence if they walked day 2-3 (OR 0.38; 95% CI 0.17, 0.87), day 4 + (OR 0.38; 95% CI 0.15, 0.96), or if they only sat, stood or stepped on the spot day 1 (OR 0.29; 95% CI 0.13, 0.62) when compared to those who walked day 1 postoperatively. Among patients from private residence, each additional physiotherapy session per day was associated with a -2.2 (95% CI -3.3, -1.0) day shorter acute LOS, and an increased log odds of return to private residence (OR 1.76; 95% CI 1.02, 3.02).

conclusionHip fracture patients who walked earlier, were more active day 1 postoperatively, and/or received a higher number of physiotherapy sessions were more likely to return home after a shorter LOS.

Indexed as

Hip FracturesLength of StayPatient DischargePhysical Therapy ModalitiesAgedAged, 80 and overAustraliaCohort StudiesFemaleHumansMaleMiddle AgedNew ZealandAmbulationAuditClinical quality registryFracture neck of femurKey performance indicatorOrthogeriatricPerioperative carePhysiotherapyRecoveryWalking

Identifiers

PMID39044173
PMCPMC11264512

What OpenQuestion holds

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Registered trials

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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.