Early mobilization within 24 to 48 h improves postoperative clinical outcomes in older adults with hip fracture: A systematic review and meta-analysis.
Chi Kit Ma, Fen Liu, Wing Yan Lam et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effects of early mobilization (within 24 to 48 hours) on postoperative outcomes in older adults with hip fractures. Analyzing 26 studies with 297,435 patients, the results indicated that early mobilization significantly reduced 30-day mortality (relative risk = 0.40) and 1-year mortality (relative risk = 0.57), while also improving functional independence and reducing hospital stays.
Key findings
- Early mobilization reduced 30-day mortality (relative risk = 0.40, 95% CI: 0.25-0.64).
- 1-year mortality was also significantly lower with early mobilization (relative risk = 0.57, 95% CI: 0.40-0.80).
- Patients mobilized early had shorter hospital stays and were more likely to be discharged home.
- Postoperative complications were reduced (relative risk = 0.79, 95% CI: 0.74-0.84).
Why it matters
The findings underscore the importance of early mobilization in improving clinical outcomes for older adults post-hip fracture surgery. Enhanced recovery protocols can lead to lower mortality rates and better functional independence, which are critical for patient quality of life and healthcare resource utilization.