A Comparison of Activities of Daily Living (ADL) in Patients with Fragility Hip Fractures Undergoing Surgery within 48 Hours versus after 48 Hours
Keywords:
Fragility hip fractures, Surgery within 48hours, Surgery after 48-hours, Barthel IndexAbstract
Background: Hip surgery within the first 48 hours has been supported as a treatment approach that helps achieve successful outcomes for patients with hip fracture. This study aimed to compare the Activities of Daily Living (ADL), mortality, late complication, and hip fracture recurrence rate between patients with hip fractures who underwent surgery within 48 hours and those who underwent surgery after 48 hours
Method: A retrospective study was conducted in 291 patients with fragility hip fractures aged over 50 years and admitted to the Chaophrayayommarat Hospital from January to December 2021. The patients were divided into two study groups: those undergoing surgery within 48 hours and those undergoing surgery after 48 hours. Descriptive statistics, independence t-test, and Chi-square test were used to analyze data.
Results: The study revealed that those undergoing surgery within 48 hours had a higher mean Barthel Index score compared with patients who had surgery after 48 hours (P<0.001). However, there was no significant difference in the rate of mortality, late complications, and recurrent hip fractures between the two groups.
Conclusion: Patients undergoing surgery within 48 hours had a significantly higher ADL compared with the other group had better quality of life and health status. Their ability to walk improved before going home and the duration of hospital stay reduced. Therefore, a continuous follow-up of surgical care outcomes within 48 hours was recommended as a decision-making guideline for the appropriate duration of care for patients undergoing hip surgery.
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