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Clinical impact of recovery room on post-operative walking performance in elderly patients submitted to hip surgery: a real-world analysis

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Abstract

Background

Strategies aimed at favouring functional recovery after surgery for hip fracture may be of clinical importance.

Aims

To test the clinical utility of a recovery room (RR) in terms of postoperative walking performance in an elderly population submitted to hip fracture surgery.

Methods

Postoperative walking performance at rollator was assessed in 242 consecutive orthogeriatric patients able to follow the institutional physiotherapy protocol starting on day 1 after hip surgery. Group 1 (n = 186, age 86.0 ± 9.3 years, 24.7% male) was admitted to the RR for postoperative monitoring, whereas Group 2 (n = 56, age 85.2 ± 5.7 years, 23.2% male) was directly admitted to the ward. The best performance observed during the first three postoperative days was considered.

Results

Group 1 showed a better walking performance than Group 2, with a 50% lower probability of walking < 5 m (relative risk 0.51, p = 0.0005) and a two-fold higher probability of walking > 10 m (relative risk 2.10, p = 0.0005). Multivariable analysis confirmed a favourable independent effect of the RR stay on walking performance (β = 0.205, p = 0.005).

Discussion

Admission to the RR in elderly patients submitted to hip fracture surgery could have an independent beneficial effect on postoperative walking functional recovery. This beneficial effect could probably depend on the possibility of ensuring a more rapid management of postoperative issues

Conclusions

These findings support the clinical utility of a RR implementation in facilities where hip surgery in elderly subjects is routinely performed.

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Authors and Affiliations

  1. Anaesthesia and Intensive Care Unit, Santa Maria Annunziata Hospital, Florence, Italy

    Duccio Conti, Laura Salucci, Lorena Metrangolo, Rossana Boccalini & Armando Sarti

  2. Cardiology Unit, Santa Maria Annunziata Hospital, Florence, Italy

    Piercarlo Ballo & Giovanni Maria Santoro

  3. Orthogeriatric Unit, Santa Maria Annunziata Hospital, Florence, Italy

    Enrico Benvenuti, Riccardo Barucci, Chiara Giulietti & Sante Giardini

Authors
  1. Duccio Conti
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  2. Piercarlo Ballo
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  3. Laura Salucci
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  4. Enrico Benvenuti
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  5. Lorena Metrangolo
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  6. Riccardo Barucci
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  7. Chiara Giulietti
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  8. Sante Giardini
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  9. Rossana Boccalini
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  10. Giovanni Maria Santoro
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  11. Armando Sarti
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Corresponding author

Correspondence to Duccio Conti.

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The authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Conti, D., Ballo, P., Salucci, L. et al. Clinical impact of recovery room on post-operative walking performance in elderly patients submitted to hip surgery: a real-world analysis. Aging Clin Exp Res 30, 999–1003 (2018). https://doi.org/10.1007/s40520-017-0860-2

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  • DOI: https://doi.org/10.1007/s40520-017-0860-2

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