Trends in Patient-Reported Physical Function After Hip Fracture Surgery

Area of Science:

• Orthopedics
• Geriatric Medicine
• Rehabilitation Science

Background:

• Hip fractures cause significant morbidity and mortality.
• Patient-reported functional recovery data post-hip fracture surgery is limited.
• Benchmarks against age-matched populations are lacking for post-surgical recovery.

Purpose of the Study:

• Identify factors influencing postoperative physical function.
• Compare functional outcomes to the 25th percentile of age-matched populations.
• Examine the relationship between physical function and one-year mortality.

Main Methods:

• Retrospective review of 214 hip fracture patients.
• Utilized Patient-Reported Outcomes Measurement Information System-Physical Function (PROMIS-PF) surveys at three months.
• Employed multivariate logistic regression to analyze predictors and outcomes.

Main Results:

• Only 47.7% of patients achieved functional levels comparable to the 25th percentile of age-matched peers.
• Total hip arthroplasty and home discharge correlated with better physical function.
• Older age, comorbidities, and longer hospital stays were associated with poorer outcomes.

Conclusions:

• Post-hip fracture surgery patients have limited functional recovery at three months.
• Achieving functional levels comparable to the 25th percentile is uncommon.
• Reduced early physical function predicts increased one-year mortality.