What factors affect early mobilisation following hip fracture surgery: a scoping review

Gray, Rene, Lacey, Kate, Whitehouse, Claire, Dance, Rachel and Smith, Toby O. ORCID: https://orcid.org/0000-0003-1673-2954 (2024) What factors affect early mobilisation following hip fracture surgery: a scoping review. BMJ Open Quality. ISSN 2399-6641 (In Press)

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Abstract

Objectives: Identify and evaluate factors affecting early mobilisation by the day following hip fracture surgery. Design: Mixed-methods, scoping review. Data sources: MEDLINE, AMED, CINAHL, APA PsycINFO, APA PsycArticles, ISRCTN, Clinical Trials registry, and grey literature accessed in November 2022 with publication dates between 2001 and November 2022. Eligibility criteria: English language publications that: (1) include patient populations who sustain a fragility hip fracture managed surgically (2) include patient populations who are mobilised out of bed by the day following their hip fracture surgery (3) report factors which influence the ability to undergo early mobility post-surgery Data extraction and synthesis: One reviewer screened all titles and abstracts for inclusion. Two reviewers performed data extraction and quality assessments using the relevant Critical Appraisal Skills Programme tools and the Mixed Methods Appraisal Tool. Results: 3,337 papers were identified, of which 23 studies were eligible for review, representing 210,811 patients. Heterogeneity in the types of study included, the definition of early mobilisation and the outcome measures used precluded meta-analysis. Thirteen factors were identified as having an effect on whether people mobilise by Day 1 post hip fracture surgery, grouped into five principal themes: (1) healthcare setting or worker-related factors; (2) patient psychological factors; (3) Acute patient health factors; (4) non-acute patient health factors; and (5) surgical factors. Conclusions: There was a paucity of robust research investigating Day 1 mobilisation post-hip fracture surgery. Each of the five factors identified are potentially modifiable through service improvement change and innovation strategies. There is opportunity to explore how service provision change could be implemented to improve outcomes for all patients following hip fracture surgery demonstrating the clinical and cost benefits of these changes against the cost of delivering the change.

Item Type: Article
Uncontrolled Keywords: hip fracture,early mobilisation,recovery,mortality,service improvement
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Population Health
Faculty of Science > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Depositing User: LivePure Connector
Date Deposited: 05 Jan 2024 01:51
Last Modified: 09 Jan 2024 01:38
URI: https://ueaeprints.uea.ac.uk/id/eprint/94073
DOI:

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