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Purpose <p>This study aimed to identify clinical parameters influencing ambulation status at hospital discharge in elderly patients with hip fractures. The main research question was: which clinical and functional factors are associated with better ambulation outcomes at discharge?</p> Methods <p>A retrospective cohort study included 134 elderly patients who underwent corrective surgery or total/partial hip replacement. Data analyzed included pre-hospitalization ambulation, Barthel Index, Simple Questionnaire to Rapidly Diagnose Sarcopenia (SARC-F), time to surgery, and comorbidities.</p> Results <p>Pre-hospitalization ambulation was strongly associated with ambulation at discharge (p &lt; 0.001). Ambulatory patients had higher Barthel Index scores (94.93 ± 9.83 vs. 78.23 ± 23.50, p &lt; 0.001), lower SARC-F scores (4.00 ± 2.40 vs. 6.17 ± 2.15, p &lt; 0.001), shorter time-to-surgery intervals (6.49 ± 5.33 vs. 7.63 ± 6.15&#xa0;days, p = 0.022), and lower comorbidity risks (Charlson index: 0.72 ± 0.91 vs. 1.31 ± 1.12, p = 0.001; age-adjusted Charlson: 3.97 ± 1.26 vs. 4.72 ± 1.34, p = 0.001). No significant differences were observed in hospital stay (10.16 ± 3.97 vs. 13.05 ± 9.39&#xa0;days, p = 0.060), age, or Body Mass Index (BMI).</p> Conclusion <p>Pre-hospitalization functionality is a key determinant of recovery after hip fractures, highlighting its importance in promoting ambulation and potentially reducing hospital stay.</p>

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Clinical and functional differences in elderly patients post-hip fracture surgery: A retrospective cohort study on prognostic factors for ambulation at hospital discharge

  • 期刊论文

  • 发表日期：

    2026年1月28日

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  • Anderson Sprenger Valus,
  • Edher Lucas Antunes,
  • Jéssica Mendes Nadal,
  • Rafael Carlos Sochodolak,
  • Leandro Martinez Vargas,
  • Nilo Massaru Okuno

摘要

Purpose

This study aimed to identify clinical parameters influencing ambulation status at hospital discharge in elderly patients with hip fractures. The main research question was: which clinical and functional factors are associated with better ambulation outcomes at discharge?

Methods

A retrospective cohort study included 134 elderly patients who underwent corrective surgery or total/partial hip replacement. Data analyzed included pre-hospitalization ambulation, Barthel Index, Simple Questionnaire to Rapidly Diagnose Sarcopenia (SARC-F), time to surgery, and comorbidities.

Results

Pre-hospitalization ambulation was strongly associated with ambulation at discharge (p < 0.001). Ambulatory patients had higher Barthel Index scores (94.93 ± 9.83 vs. 78.23 ± 23.50, p < 0.001), lower SARC-F scores (4.00 ± 2.40 vs. 6.17 ± 2.15, p < 0.001), shorter time-to-surgery intervals (6.49 ± 5.33 vs. 7.63 ± 6.15 days, p = 0.022), and lower comorbidity risks (Charlson index: 0.72 ± 0.91 vs. 1.31 ± 1.12, p = 0.001; age-adjusted Charlson: 3.97 ± 1.26 vs. 4.72 ± 1.34, p = 0.001). No significant differences were observed in hospital stay (10.16 ± 3.97 vs. 13.05 ± 9.39 days, p = 0.060), age, or Body Mass Index (BMI).

Conclusion

Pre-hospitalization functionality is a key determinant of recovery after hip fractures, highlighting its importance in promoting ambulation and potentially reducing hospital stay.