ArticleScientific reports2025
Impact of early postoperative ambulation on gait recovery after hip fracture surgery: a multicenter cohort study.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- 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
- Postoperative early ambulation in neurosurgical patients: influencing factors and nursing strategies.Frontiers in neurology · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
The study aimed to investigate the effect of early postoperative ambulation on gait recovery at the initial postoperative week and at discharge after hip fracture surgery in older patients. In this prospective cohort study, 882 patients aged ≥ 65 years from 10 acute hospitals in Japan were divided into early-ambulation (EA) (ambulation initiated on postoperative day 1 or 2) and late-ambulation (LA) (ambulation initiated on postoperative day 3 or later) groups. The Functional Independence Measure (FIM) was assessed 1 day postoperatively, 1 week postoperatively, and at discharge. Independent walking regardless of walking aids was defined as walking FIM ≥ 5. Multivariate logistic regression analysis and a generalized linear mixed model, accounting for inter-hospital variability, determined whether EA affected independent walking at 1 week postoperatively and at discharge. The number of patients walking independently 1 week postoperatively and at discharge was 156 (17.7%) and 292 (33.1%), respectively. On multivariate logistic regression analysis, EA was associated with independent walking at 1 week postoperatively (odds ratio [OR] 3.27; 95% confidence interval [CI] 2.17-4.94; P < 0.0001) and at discharge (OR 3.33; 95% CI 2.38-4.69; P < 0.0001). This study highlights the importance of EA in promoting postoperative independent walking, regardless of hospital setting.
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