Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectives

Ruqayyah Turabi; Matt O'Connell; David Wyatt; Chris Bretherton; Simon Cannon; Celia L Gregson; Iain Moppett; Lynn McNicoll; Katie Sheehan

doi:10.1007/s41999-025-01205-z

Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectives

Ruqayyah Turabi, Matt O'Connell, David Wyatt, Chris Bretherton, Simon Cannon, Celia L Gregson, Iain Moppett, Lynn McNicoll, Katie Sheehan

Population Health Sciences

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Abstract

Aim: To explore global variations in mobilisation timing and weight-bearing following hip fracture surgery, as well as differences between high-income countries (HICs) and low- and middle-income countries (LMICs), and to identify potential barriers to these practices Findings: Although there is a tendency towards early mobilisation and unrestricted weight-bearing, variations exist both within HICs and LMICs. Early mobilisation and unrestricted weight-bearing were more commonly prescribed and achieved in HICs than in LMICs. Structure-related barriers were reported more frequently in LMICs, underscoring the global complexities in implementing these practices. Message: International collaboration is crucial to address disparities in postoperative care and improve outcomes for older adults after hip fracture surgery.

Original language	English
Article number	e055017
Journal	European Geriatric Medicine
DOIs	https://doi.org/10.1007/s41999-025-01205-z
Publication status	Published - 18 Apr 2025

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10.1007/s41999-025-01205-z

Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectivesFinal published version, 3.7 MBLicence: CC BY

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abstract = "Aim: To explore global variations in mobilisation timing and weight-bearing following hip fracture surgery, as well as differences between high-income countries (HICs) and low- and middle-income countries (LMICs), and to identify potential barriers to these practices Findings: Although there is a tendency towards early mobilisation and unrestricted weight-bearing, variations exist both within HICs and LMICs. Early mobilisation and unrestricted weight-bearing were more commonly prescribed and achieved in HICs than in LMICs. Structure-related barriers were reported more frequently in LMICs, underscoring the global complexities in implementing these practices. Message: International collaboration is crucial to address disparities in postoperative care and improve outcomes for older adults after hip fracture surgery.",

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AU - Turabi, Ruqayyah

AU - O'Connell, Matt

AU - Wyatt, David

AU - Bretherton, Chris

AU - Cannon, Simon

AU - Gregson, Celia L

AU - Moppett, Iain

AU - McNicoll, Lynn

AU - Sheehan, Katie

PY - 2025/4/18

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N2 - Aim: To explore global variations in mobilisation timing and weight-bearing following hip fracture surgery, as well as differences between high-income countries (HICs) and low- and middle-income countries (LMICs), and to identify potential barriers to these practices Findings: Although there is a tendency towards early mobilisation and unrestricted weight-bearing, variations exist both within HICs and LMICs. Early mobilisation and unrestricted weight-bearing were more commonly prescribed and achieved in HICs than in LMICs. Structure-related barriers were reported more frequently in LMICs, underscoring the global complexities in implementing these practices. Message: International collaboration is crucial to address disparities in postoperative care and improve outcomes for older adults after hip fracture surgery.

AB - Aim: To explore global variations in mobilisation timing and weight-bearing following hip fracture surgery, as well as differences between high-income countries (HICs) and low- and middle-income countries (LMICs), and to identify potential barriers to these practices Findings: Although there is a tendency towards early mobilisation and unrestricted weight-bearing, variations exist both within HICs and LMICs. Early mobilisation and unrestricted weight-bearing were more commonly prescribed and achieved in HICs than in LMICs. Structure-related barriers were reported more frequently in LMICs, underscoring the global complexities in implementing these practices. Message: International collaboration is crucial to address disparities in postoperative care and improve outcomes for older adults after hip fracture surgery.

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JO - European Geriatric Medicine

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Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectives

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