Acta chirurgica Iugoslavica 2013 Volume 60, Issue 1, Pages: 61-64
https://doi.org/10.2298/ACI1301061D
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The impact of postoperative pain on early ambulation after hip fracture
Dubljanin-Raspopović E. (Clinical Center of Serbia, Clinic for Physical Medicine and Rehabilitation, Belgrade + School of Medicine, Belgrade)
Marković-Denić L. (Institute of Epidemiology, School of Medicine, University of Belgrade)
Živković K. (Clinic Center of Serbia, Clinic for Aneasthesiology, Belgrade)
Nedeljković U. (Clinical Center of Serbia, Clinic for Physical Medicine and Rehabilitation, Belgrade)
Tomanović S. (Clinical Center of Serbia, Clinic for Physical Medicine and Rehabilitation, Belgrade)
Kadija M. (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Orthopedic Surgery and Traumatology, Belgrade)
Tulić G. (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Orthopedic Surgery and Traumatology, Belgrade)
Bumbaširević M. (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Orthopedic Surgery and Traumatology, Belgrade)
Hip fractures are the most serious consequence of falling in older people
with osteoporosis. Early ambulation is one of the main goals of inpatient
rehabilitation aimed at reducing negative effects of immobilization, and
promoting functional recovery. Recognizing the role of different factors that
are associated with time to ambulation time after hip fracture surgery may
help decrease morbidity and mortality rates. The aim of this study was to
examine the impact of postoperative pain time to ambulation following hip
fracture surgery. A total of 96 patients who consecutively presented at the
Clinic for Orthopaedic Surgery and Traumatology, Clinical Center Serbia
during a 6 month period were included in the study. Subjects were assessed
regarding socioedemographic characteristics, prefracture functional status,
cognitive status, general health status, fracture type, type of anaesthesia,
and waiting time for surgery. The VAS scale (0-100) was used to measure pain
intensity on the first postoperative day. Our results revealed that patients,
whose time to ambulation was =48h postoperatively were of worse physical
health, and had significantly higher VAS score on the first postoperative
day. Unrelieved pain in geriatric hip fracture patients is associated with
delayed ambulation. Future research should confirm the positive effects of
aggressive pain management programs on early functional outcome in elderly
patients who sustain hip fractures.
Keywords: Acute pain, hip fracture, rehabilitation
Projekat Ministarstva nauke Republike
Srbije, br. 175046