BACKGROUND: Few studies have examined the relationship between inpatient bed rest and functional outcomes. We examined how immobility is associated with function and mortality in @entity1 with @entity173 . METHODS: We conducted a prospective cohort study of 532 @entity1 50 years and older, who were treated with surgery after @entity173 in 4 hospitals in New York. We collected information from hospital visits, medical records, and interviews. "Days of immobility" was defined as days until the @entity1 moved out of bed beyond a chair. Follow-up was obtained on function (using the Functional Independence Measure) at 2 and 6 months and on survival at 6 months. RESULTS: @entity1 with @entity173 experienced an average of 5.2 days of immobility. Compared with @entity1 with a longer duration of immobility (ie, at the 90th percentile) in adjusted analyses, @entity1 at the 10th percentile of immobility had lower 6-month mortality (-5.4%; 95% confidence interval [CI], -10.9% to -1.0%) and better Functional Independence Measure score for locomotion (0.99 points; 95% CI, 0.3 to 1.7 points, with higher values indicating better function), but there was no significant difference in locomotion by 6 months (0.58 points; 95% CI, -0.3 to 1.4 points). The adverse association of immobility was strongest in @entity1 using personal assistance or supervision with locomotion at baseline (difference in 6-month mortality between the 90th and 10th percentile of immobility was -17.1% [P = .004] for this group and only 1.2% [P = .38] for @entity1 independent in locomotion at baseline). CONCLUSION: In @entity1 with @entity173 , delay in getting the @entity1 out of bed is associated with poor function at 2 months and worsened 6-month survival.

Early ambulation after XXXX : effects on function and mortality.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patients'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fracture']
@entity173 :: (MESH:D006620,Disease) :: ['hip fracture']
