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Early ambulation after hip fracture surgery is associated with decreased 30-day mortality

Journal of the American Academy of Orthopedic Surgeons Mar 14, 2021

Heiden J, Goodin SR, Mormino MA, et al. - The present study was performed to evaluate mortality after hip fracture surgery because it relates to early postoperative ambulation, taking into account the preexisting comorbidity burden. Researchers conducted a retrospective review of patients older than age 65 years who had undergone surgical fixation for hip fractures because of a low-energy mechanism. The relationship between postoperative ambulation and mortality was examined by using multivariable logistic regression. For this analysis, 218 met the inclusion criteria out of 485 initially identified patients. The findings revealed that after hip fracture surgery, early ambulation bears a notable, almost four-fold, relationship with early postoperative mortality independent of age and medical comorbidities. The data demonstrate a growing body of evidence that ambulation is a powerful tool that should continue to be emphasized to optimize mortality in hip fracture patients.

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