Using pre-fracture mobility to augment prediction of post-operative outcomes in hip fracture

Abstract

Key summary pointsAimTo study whether pre-fracture mobility be used to strengthen post-operative outcome prediction following hip fracture.FindingsPatients with better mobility had significantly improved outcomes and the mobility variable was able to independently predict outcomes while enhancing risk prediction when combined with the Nottingham Hip Fracture Score. Incorporating mobility assessment into risk scores may improve casemix adjustment, prognostication following hip fracture, and identify high-risk patient groups requiring enhanced post-operative care at admission.MessageMobility information available at admission could facilitate prognostication, discharge planning, bed management and risk aversion, as well as informing discussions between clinical teams and patients about post-operative recovery.