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Prior researchers explored a number of influencing factors, but there is still a pressing need for synthesizing the evidence. A systematic literature review was conducted for original studies by searching electronic databases included PubMed, Embase, CINAHL, Scopus, web of science and Cochrane Library from inception till July 2023. The odds ratio and 95% confidence interval were calculated for the combined risk factors using Review Manager 5.4. Finally, 2665 articles were initially assessed, and 26 studies were ultimately deemed eligible for inclusion in this meta\u2010analysis, contributing a collective total of 18\u2009698 subjects to the analysis. The following factors were showed strong association with early ambulation: age (OR: 1.04, 95% CI: 1.03\u20131.05); low pre\u2010fracture functional level (OR: 1.39, 95% CI: 1.25\u20131.54); anemia (OR: 2.81, 95% CI: 1.79\u20134.42); vitamin D deficiency (OR: 2.73, 95% CI:1.64\u20134.56); poor nutritional status (OR:2.08, 95% CI: 1.56\u20132.77); cognitive impairment (OR: 1.16, 95% CI: 1.09\u20131.22); Charlson Comorbidity Index (OR: 0.80, 95% CI: 0.72\u20130.90); intertrochanteric fracture (OR: 3.24, 95% CI: 1.99\u20135.28). For patients presenting with the aforementioned influencing factors, targeted preventive approaches and management strategies should be employed to facilitate rapid postoperative recovery.<\/jats:p>","DOI":"10.1111\/nhs.70177","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T06:31:22Z","timestamp":1755066682000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Systematic Review and Meta\u2010Analysis of Barriers Affecting Early Ambulation in Older Patients After Hip Fracture Surgery"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7899-3393","authenticated-orcid":false,"given":"Jingru","family":"Chen","sequence":"first","affiliation":[{"name":"Medical School of Chinese PLA Chinese PLA General Hospital  Beijing China"},{"name":"Center for Joint Surgery, Intelligent Manufacturing and Rehabilitation Engineering Center The First Affiliated Hospital of Army Medical University  Chongqing 400038 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueyang","family":"Gan","sequence":"additional","affiliation":[{"name":"Medical School of Chinese PLA Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Medical Center, Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Medical Center, Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6338-3766","authenticated-orcid":false,"given":"Mengqi","family":"Shao","sequence":"additional","affiliation":[{"name":"Medical School of Chinese PLA Chinese PLA General Hospital  Beijing China"},{"name":"Department of Geriatric Health Care The Second Medical Center, Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youting","family":"Wang","sequence":"additional","affiliation":[{"name":"Medical School of Chinese PLA Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Medical Center, Chinese PLA General Hospital  Beijing 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