{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:41:07Z","timestamp":1792197667549,"version":"4.4.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T00:00:00Z","timestamp":1151280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold>Level 3 evidence\u2010based guidelines recommend first walk after hip fracture surgery within 48\u2003h. Early mobilization is resource and effort intensive and needs rigorous investigation to justify implementation. This study uses a prospective randomized method to investigate the effect of early ambulation (EA) after hip fracture surgery on patient and hospital outcomes.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold>Sixty patients (41 women and 19 men; mean age 79.4\u2003years) admitted between March 2004 through December 2004 to The Alfred Hospital, Melbourne, for surgical management of a hip fracture were studied. Randomization was either EA (first walk postoperative day 1 or 2) or delayed ambulation (DA) (first walk postoperative day 3 or 4). Functional levels on day\u20037 post\u2010surgery, acute hospital length of stay and destination at discharge were compared.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold>At 1\u2003week post\u2010surgery, patients in the EA group walked further than those in the DA group (<jats:italic>P<\/jats:italic>\u2003=\u20030.03) and required less assistance to transfer (<jats:italic>P<\/jats:italic>\u2003=\u20030.009) and negotiate a step (<jats:italic>P<\/jats:italic>\u2003=\u20030.23). Patients in the EA group were more likely to be discharged directly home from the acute care than those in the DA group (26.3 compared with 2.4%) and less likely to need high\u2010level care (36.8 compared with 56%). A failed early ambulation subgroup had significantly more postoperative cardiovascular instability and worse results for all outcome measures.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold>EA after hip fracture surgery accelerates functional recovery and is associated with more discharges directly home and less to high\u2010level care.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2006.03786.x","type":"journal-article","created":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T14:56:28Z","timestamp":1151333788000},"page":"607-611","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":232,"title":["NO REST FOR THE WOUNDED: EARLY AMBULATION AFTER HIP SURGERY ACCELERATES RECOVERY"],"prefix":"10.1111","volume":"76","author":[{"given":"Leonie B.","family":"Oldmeadow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elton R","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara A","family":"Kimmel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Kipen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val J.","family":"Robertson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,6,26]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Projections of the Populations of Australia, States and Territories, 1995\u20132051","author":"McLennon W","year":"1996"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/000164700317413157"},{"key":"e_1_2_7_4_2","doi-asserted-by":"crossref","first-page":"467","DOI":"10.5694\/j.1326-5377.1999.tb127845.x","article-title":"Health burden of hip and other fractures in Australia beyond 2000. 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