Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study
Abstract Background Hip fractures in the elderly are a major global public health concern, with incidence projected to rise as populations age. Rehabilitation is critical to recovery after hip fracture surgery, but the ideal timing for initiation remains uncertain. While early rehabilitation, within...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-024-05354-y |
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| author | Wen Tang Yiqi Wang Yulian He Bo Liu Runzhi Yuan Yanhui Zhou Huayong Huang |
| author_facet | Wen Tang Yiqi Wang Yulian He Bo Liu Runzhi Yuan Yanhui Zhou Huayong Huang |
| author_sort | Wen Tang |
| collection | DOAJ |
| description | Abstract Background Hip fractures in the elderly are a major global public health concern, with incidence projected to rise as populations age. Rehabilitation is critical to recovery after hip fracture surgery, but the ideal timing for initiation remains uncertain. While early rehabilitation, within 48 h post-surgery, is associated with better outcomes, its specific impact on hospital stay duration and postoperative complications is not yet conclusively established. Aim This study aims to evaluate the effects of initiating rehabilitation within 48 h after hip fracture surgery on hospital length of stay and postoperative complications, compared to rehabilitation started one-week post-surgery in elderly patients. It is hypothesized that early rehabilitation will significantly reduce hospital stays and decrease the rate of postoperative complications. Methods In this prospective cohort study, patients aged 65 and older are divided into early rehabilitation (within 48 h) and delayed rehabilitation (after one week) groups. Data will be collected using electronic medical records (EMR), standardized clinical tools (Barthel Index, Timed Up and Go), and patient-reported outcome measures (SF-36, EQ-5D). Statistical analyses will include t-tests and chi-square tests for outcome comparison, with multiple regression adjusting for potential confounders such as age, gender, and comorbidities. |
| format | Article |
| id | doaj-art-69b37d21dd604b749f566f8a15a19cc1 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-69b37d21dd604b749f566f8a15a19cc12025-01-26T12:43:25ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011810.1186/s13018-024-05354-yEffect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort studyWen Tang0Yiqi Wang1Yulian He2Bo Liu3Runzhi Yuan4Yanhui Zhou5Huayong Huang6Department of Orthopedics Center, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaSchool of Nursing, University of South ChinaDepartment of Orthopedics Center, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Orthopedics Center, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Orthopedics Center, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaNursing Department, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Emergency Medicine Center, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaAbstract Background Hip fractures in the elderly are a major global public health concern, with incidence projected to rise as populations age. Rehabilitation is critical to recovery after hip fracture surgery, but the ideal timing for initiation remains uncertain. While early rehabilitation, within 48 h post-surgery, is associated with better outcomes, its specific impact on hospital stay duration and postoperative complications is not yet conclusively established. Aim This study aims to evaluate the effects of initiating rehabilitation within 48 h after hip fracture surgery on hospital length of stay and postoperative complications, compared to rehabilitation started one-week post-surgery in elderly patients. It is hypothesized that early rehabilitation will significantly reduce hospital stays and decrease the rate of postoperative complications. Methods In this prospective cohort study, patients aged 65 and older are divided into early rehabilitation (within 48 h) and delayed rehabilitation (after one week) groups. Data will be collected using electronic medical records (EMR), standardized clinical tools (Barthel Index, Timed Up and Go), and patient-reported outcome measures (SF-36, EQ-5D). Statistical analyses will include t-tests and chi-square tests for outcome comparison, with multiple regression adjusting for potential confounders such as age, gender, and comorbidities.https://doi.org/10.1186/s13018-024-05354-yEarly rehabilitationHospital stayPostoperative complicationsElderly patientsHip fractureA prospective cohort study |
| spellingShingle | Wen Tang Yiqi Wang Yulian He Bo Liu Runzhi Yuan Yanhui Zhou Huayong Huang Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study Journal of Orthopaedic Surgery and Research Early rehabilitation Hospital stay Postoperative complications Elderly patients Hip fracture A prospective cohort study |
| title | Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study |
| title_full | Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study |
| title_fullStr | Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study |
| title_full_unstemmed | Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study |
| title_short | Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study |
| title_sort | effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients a prospective cohort study |
| topic | Early rehabilitation Hospital stay Postoperative complications Elderly patients Hip fracture A prospective cohort study |
| url | https://doi.org/10.1186/s13018-024-05354-y |
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