More than half of hip fracture patients do not regain mobility in the first postoperative year

Geriatr Gerontol Int. 2013 Apr;13(2):334-41. doi: 10.1111/j.1447-0594.2012.00904.x. Epub 2012 Jun 21.

Abstract

Aim: To measure functional recovery and determine risk factors for failure to return to the prefracture level of mobility of hip fracture patients 1 year postoperatively.

Methods: A prospective cohort follow-up study of 390 hip fracture patients aged 65 years and older was carried out. Patients were stratified in categories based on prefracture mobility: mobile without aid, with aid in- and outdoors, or only mobile indoors. Immobile patients were excluded. Risk factors for not regaining prefracture mobility were identified.

Results: Nearly half of all patients regained their prefracture level of mobility after 1 year. Mobile patients without an aid were less likely to return to their prefracture mobility level compared with patients who were mobile with aid or mobile indoors. After 1 year, 18.7% of all patients had become immobile. Most important independent risk factors for failure to return to the prefracture level of mobility were a limited prefracture level of activities of daily living and a delirium during admission.

Conclusions: The risk not to regain prefracture mobility is highest in mobile patients without an aid. The risk of becoming immobile is higher in those having a lower prefracture mobility. Activities of daily living dependence and delirium were the main risk factors for not regaining mobility.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anemia / complications
  • Canes
  • Cohort Studies
  • Crutches
  • Delirium / complications
  • Dementia / complications
  • Female
  • Follow-Up Studies
  • Hip Fractures / physiopathology*
  • Hip Fractures / surgery
  • Humans
  • Institutionalization
  • Male
  • Prospective Studies
  • Recovery of Function / physiology*
  • Risk Factors
  • Sex Factors
  • Survival Rate
  • Walkers
  • Walking / physiology*
  • Wheelchairs