The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study

Objective To compare the functional status and quality of life (QoL) between patients who underwent an early mobilization scheme and those who underwent a late mobilization scheme after hip fracture fixation surgery in elderly Chinese patients. Methods This was a prospective cohort study. Patients (...

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Autores principales:	Zhou Xiang, Zhong Chen, Pengcheng Wang, Kun Zhang, Fan Liu, Changqing Zhang, Tak-Man Wong, Wilson Li, Frankie Leung
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/7fba6283129342c89f4e7c5840b392b4
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spelling	oai:doaj.org-article:7fba6283129342c89f4e7c5840b392b42021-12-02T00:03:22ZThe effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study2309-499010.1177/23094990211058902https://doaj.org/article/7fba6283129342c89f4e7c5840b392b42021-11-01T00:00:00Zhttps://doi.org/10.1177/23094990211058902https://doaj.org/toc/2309-4990Objective To compare the functional status and quality of life (QoL) between patients who underwent an early mobilization scheme and those who underwent a late mobilization scheme after hip fracture fixation surgery in elderly Chinese patients. Methods This was a prospective cohort study. Patients (≥65 years old) with unstable intertrochanteric fractures treated with intramedullary nails were recruited from nine centers in China. Study centers either performed early mobilization or late mobilization scheme. All patients performed immediate in-bed mobilization after surgery and followed a standardized daily exercise program at home during the first 12 weeks. Functional status was measured by the Modified Barthel Index at postoperative visit, 6 weeks, and 12 weeks. QoL was measured by the EuroQol-5D (EQ-5D) at 12 weeks. Results One hundred and forty-eight patients were enrolled to early mobilization, and 136 to late mobilization. At 6 weeks, early mobilization resulted in a significantly better Modified Barthel Index than late mobilization (mean [SD]: 83.7 [12.0] vs. 67.0 [17.5], p < .001). Adjusted mixed effects model showed significantly higher Modified Barthel Index for early mobilization at postoperative visit, 6 weeks, and 12 weeks (all p < .001). Patients in the early mobilization group had slightly better EQ-5D Index at 12 weeks than patients in the late mobilization group (mean: 0.91 vs 0.87, p = .002). Conclusions Early postoperative mobilization resulted in better functional outcomes up to 12 weeks. QoL was rated statistically significantly better in the early mobilization group, but the difference was small and may not be clinically relevant.Zhou XiangZhong ChenPengcheng WangKun ZhangFan LiuChangqing ZhangTak-Man WongWilson LiFrankie LeungSAGE PublishingarticleOrthopedic surgeryRD701-811ENJournal of Orthopaedic Surgery, Vol 29 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Zhou Xiang Zhong Chen Pengcheng Wang Kun Zhang Fan Liu Changqing Zhang Tak-Man Wong Wilson Li Frankie Leung The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
description	Objective To compare the functional status and quality of life (QoL) between patients who underwent an early mobilization scheme and those who underwent a late mobilization scheme after hip fracture fixation surgery in elderly Chinese patients. Methods This was a prospective cohort study. Patients (≥65 years old) with unstable intertrochanteric fractures treated with intramedullary nails were recruited from nine centers in China. Study centers either performed early mobilization or late mobilization scheme. All patients performed immediate in-bed mobilization after surgery and followed a standardized daily exercise program at home during the first 12 weeks. Functional status was measured by the Modified Barthel Index at postoperative visit, 6 weeks, and 12 weeks. QoL was measured by the EuroQol-5D (EQ-5D) at 12 weeks. Results One hundred and forty-eight patients were enrolled to early mobilization, and 136 to late mobilization. At 6 weeks, early mobilization resulted in a significantly better Modified Barthel Index than late mobilization (mean [SD]: 83.7 [12.0] vs. 67.0 [17.5], p < .001). Adjusted mixed effects model showed significantly higher Modified Barthel Index for early mobilization at postoperative visit, 6 weeks, and 12 weeks (all p < .001). Patients in the early mobilization group had slightly better EQ-5D Index at 12 weeks than patients in the late mobilization group (mean: 0.91 vs 0.87, p = .002). Conclusions Early postoperative mobilization resulted in better functional outcomes up to 12 weeks. QoL was rated statistically significantly better in the early mobilization group, but the difference was small and may not be clinically relevant.
format	article
author	Zhou Xiang Zhong Chen Pengcheng Wang Kun Zhang Fan Liu Changqing Zhang Tak-Man Wong Wilson Li Frankie Leung
author_facet	Zhou Xiang Zhong Chen Pengcheng Wang Kun Zhang Fan Liu Changqing Zhang Tak-Man Wong Wilson Li Frankie Leung
author_sort	Zhou Xiang
title	The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
title_short	The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
title_full	The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
title_fullStr	The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
title_full_unstemmed	The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study
title_sort	effect of early mobilization on functional outcomes after hip surgery in the chinese population – a multicenter prospective cohort study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/7fba6283129342c89f4e7c5840b392b4
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The effect of early mobilization on functional outcomes after hip surgery in the Chinese population – A multicenter prospective cohort study

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