Pre-fracture Mobility Using Standardized Scale as an Early Indicator of High Health Risk in Patients with a Hip Fracture

Abstract Hip fracture in older adults is associated with poor prognosis. We tested the hypothesis that a single standardized measure, pre-fracture mobility, can be used as an early indicator of patients at high health risk after hip fracture. Analysis prospectively collected data admitted between April-2009 and June-2019 NHS hospital, UK. Pre-fracture mobility status (freely mobile, mobilising outdoors one aid or two aids, limited to indoors), was predict length stay (LOS) mortality discharge destination. Among 3073 (2231 women, 842 men) from their own home (mean ± SD age = 82.7 9.3 yr), 159 died 2914 survived discharge: 1834 back home, 772 rehabilitation, 66 residential care, 141 nursing care 101 unknown destinations. Compared LOS 15.9 15.6 days who mobilised freely before (reference), those were able mobilise stayed 3.5 days, aids confined indoor week longer hospital. In-patient increased among aids: OR 2.1 (95%CI 1.3–3.3), indoors: (1.3–1.5). Finally, change residence on more likely (OR 1.8, 95%CI 1.2–2.6), indoors 1.9, 1.2–2.9). In conclusion, may useful for identifying adverse outcomes acute