Factors Predicting First Early Ambulation After Hip Fracture Surgery in Elderly Patients
Keywords:
first early ambulation, hip surgery, elderlyAbstract
This retrospective study aimed to investigate the factors predicting the first gait after hip fracture surgery among elderly patients. The sample group consisted of 125 patients, aged 60 years and older who had undergone hip surgery within 72 hrs. Data were collected through personal data records and a record form for illness information and were analyzed using multiple linear regression analysis. The instruments had a content validity index (CVI) of 0.96.
The results showed that, age and co - morbidity significantly influence early ambulation in elderly patients after hip surgery at 20.4% (R2 = .204). Specifically, age and comorbidities were significant predictors of the first gait after hip fracture surgery by these patients (b = -.319, b = -.307), respectively. Therefore, care providers must take these factors into account to facilitate patients in recovering from illness better and more quickly.
References
Emmerson BR, Varacallo M, Inman D. Hip Fracture Overview. [Updated 2022 Sep 4]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/brooks/NBK557514/
Parker M, Johansen A. Hip fracture. BMJ 2006;333(7557):27-30.
Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop 2011;45(1):15-22.
Suratthani Hospital. Statistics of hip surgery 2017-2020. Suratthani: Suratthani Hospital; 2022. (in Thai)
Sanguineti VA, Wild JR, Fain MJ. Management of postoperative complications. Clin Geriatr Med 2014;30(2):261–70. doi:10.1016/j.cger.2014.01.005.
Panula J, Pihlajamäki H, Mattila VM, Jaatinen P, Vahlberg T, Aarnio P, Kivelä SL. Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study. BMC Musculoskelet Disord 2011;12:105. doi: 10.1186/1471-2474-12-105.
Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int 2009;20(10):1633–50. doi: 10.1007/s00198-009-0920-3.
Berg U, Berg M, Rolfson O, Erichsen-Andersson A. Fast-track program of elective joint replacement in hip and knee patients’ experiences of the clinical pathway and care process. J Orthop Surg Res 2019;14(1):186. doi: 10.1186/s13018-019-1232-8.
Abbas K, Umer M, Qadir I, Zaheer J, ur Rashid H. Predictors of length of hospital stay after total hip replacement. J Orthop Surg (Hong Kong) 2011;19(3):284-7. doi: 10.1177/23094 9901101900304.
Kenyon-Smith T, Nguyen E, Oberai T, Jarsma R. Early mobilization post-hip fracture surgery. Geriatr Orthop Surg Rehabil 2019;7;10:2151459319826431. doi:10.1177/ 2151459319826431.
Heiden JJ, Goodin SR, Mormino MA, Siebler JC, Putnam SM, Lyden ER, Tao MA. Early ambulation after hip fracture surgery is associated with decreased 30-day mortality. J Am Acad Orthop Surg 2021;29(5):e238-e242. doi: 10.5435/JAAOS-D-20-00554.
Lan P, Chen X, Fang Z, Zhang J, Liu S, Liu Y. Effects of comorbidities on pain and function after total hip arthroplasty. Front Surg 2022;9:829303. doi: 10.3389/ fsurg.2022.829303.
Hustedt JW, Goltzer O, Bohl DD, Fraser JF, Lara NJ, Spangehl MJ. Calculating the cost and risk of comorbidities in total joint arthroplasty in the United States. J Arthroplasty 2017;32(2):355–61.e1. doi: 10.1016/j.arth.2016.07.025
Davies S. Meleis's theory of nursing transitions and relatives' experiences of nursing home entry. J Adv Nurs 2005;52(6):658-71. doi: 10.1111/j.1365-2648.2005.03637.x.
Leelertmongkolkul W, Danaidutsadeekul S, Chanruangvanich W, Udomkiat P. The Relationship between body mass index, pain, social support and the activity daily living during recovery phase in hip arthroplasty patients. J Nurs Sci 2013;31(2):26-37. (in Thai)
Dolata J, Pietrzak K, Manikowski W, Kaczmarczyk J, Gajewska E, Kaczmarek W. Influence of age on the outcome of rehabilitation after total hip replacement. Pol Orthop Traumatol 2013;78:109-13. PMID: 23666242.
Tang VL, Sudore R, Cenzer IS, Boscardin WJ, Smith A, Ritchie C, et al. Rates of recovery to pre-fracture function in older persons with hip fracture: an observational study. J Gen Intern Med 2017;32(2):153-8. doi: 10.1007/s11606-016-3848-2.
Cohn MR, Cong GT, Nwachukwu BU, Patt ML, Desai P, Zambrana L, et al. Factors associated with early functional outcome after hip fracture surgery. Geriatr Orthop Surg Rehabil 2016;7(1):3-8. doi: 10.1177/2151458515615916
Temporiti F, Draghici I, Fusi S, Traverso F, Ruggeri R, Grappiolo G, Gatti R. Does walking the day of total hip arthroplasty speed up functional independence? A non-randomized controlled study. Arch Physiother 2020;10:8. doi: 10.1186/s40945- 020-00079-7
Dailiana ZH, Papakostidou I, Varitimidis S, Liaropoulos L, Zintzaras E, Karachalios T, et al. Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty. BMC Musculoskelet Disord 2015;16:366. doi: 10.1186/s12891-015-0814-9.
Guerra MT, Viana RD, Feil L, Feron ET, Maboni J, Vargas AS. One-year mortality of elderly patients with hip fracture surgically treated at a hospital in Southern Brazil. Rev Bras Ortop 2016;52(1):17-23. doi: 10.1016/j.rboe.2016.11.006.
Shebubakar L, Hutagalung E, Sapardan S, Sutrisna B. Effects of older age and multiple comorbidities on functional outcome after partial hip replacement surgery for hip fractures. Acta Med Indones 2009;41(4):195-9. PMID: 20124616.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Srisavarindhira Thai Red Cross Institute of Nursing
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาบทความหรือข้อคิดเห็นต่างๆ ในวารสารพยาบาลสภากาชาดไทยนี้ เป็นความคิดเห็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการ หรือสถาบันการพยาบาลศรีสวรินทิรา สภากาชาดไทย