• Benjamin Buecking, Katharina Bohl, Daphne Eschbach, Christopher Bliemel, Rene Aigner, Monika Balzer-Geldsetzer, Richard Dodel, Steffen Ruchholtz, and Florian Debus.
• Department of Trauma, Hand and Reconstructive Surgery, Philipps-University of Marburg, Marburg, Germany. Electronic address: buecking@med.uni-marburg.de.
• Arch Gerontol Geriatr. 2015 May 1;60(3):457-63.

ObjectiveThe aim of the present study was to determine the independent factors influencing mobilization progress after geriatric hip fractures.Patients And Methods392 Hip fracture patients older than 60 years were included in this prospective, observational, cohort study. The progress of mobilization was measured with walking ability 4 days post-surgery, ability to climb stairs until discharge and the Tinetti test at discharge. Factors correlated with the progress of mobilization were determined using multivariate analyses.ResultsThe independent factors influencing walking ability 4 days post-surgery were the pre-fracture Charlson Comorbidity Index (OR=0.834, p=0.005), the American Society of Anesthesiologists Score (OR=0.550, p=0.013), pre-fracture Barthel Index ([BI], OR=1.019, p=0.012) and risk for depression, as measured by the Geriatric Depression Scale, (OR=0.896, p=0.013). The probability of climbing stairs until discharge was influenced by the patient's age (OR=0.840, p<0.001), pre-fracture BI (OR=1.047, p=0.042), cognitive impairment, as measured by the mini mental state examination (OR=1.182 p=0.008), pre surgical hemoglobin (OR=1.026, p=0.044), time until surgery (OR=0.961, p=0.023), duration of surgery (OR=0.982, p=0.014), and surgery type (prosthesis, OR=4.545, p=0.001). Similar variables influenced the Tinetti test ad discharge.ConclusionWhile pre-fracture co-morbidities and function cannot be changed, the treatment of patients with cognitive impairment and depressive symptoms should be optimized. Efforts should be undertaken to ensure early surgery for all hip fractures.Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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