Table 4.
Key recommendations for postoperative rehabilitation in adult patients with HFS
| Category | No. | Intervention | Evidence level | Grade of recommendation |
|---|---|---|---|---|
| Multidisciplinary approach | 1 | Multidisciplinary approach | Medium (4 SRs) | Strong |
| Rehabilitation treatment | 2 | Early treatment | Low (1 RCT), Very low (5 non-RCTs) | Weak |
| 3 | Supervised gradual strengthening | Medium (1 SR), Low (2 RCTs) | Strong | |
| 4 | Weight-bearing exercise | Medium (1 RCT), Very low (10 non-RCTs) | Weak | |
| 5 | Balance training | Medium (2 SRs) | Strong | |
| 6 | Supervised ADL training | Medium (1 SR), Very low (1 non-RCT) | Weak | |
| 7 | Multidisciplinary treatment (cost-benefit) | Low (3 RCTs) | Not applicable | |
| Community care | 8 | Home-based rehabilitation during recovery phase | Very low (2 SRs), Low (7 RCTs) | Weak |
| 9 | Home-based rehabilitation during maintenance phase | Low (4 RCTs) | Weak | |
| Comorbidities and complications | 10 | Regional anesthesia | Low (6 RCTs) | Weak |
| 11 | Anticoagulant/antithrombotic drugs, compression treatment | 2 CPGs (acceptable), High (1 SR), Low (2 RCTs) | Weak | |
| 12 | Early catheterization removal | 1 CPG (acceptable), Very low (3 RCTs) | Weak | |
| 13 | Bisphosphonate | Low (2 SRs) | Weak | |
| 14 | Nutritional plan | Low (1 SR), Low (2 RCTs), Very low (1 non-RCT) | Weak | |
| 15 | High protein intake | Low (1 SR), Very low (5 RCTs) | Weak |
HFS, hip fracture surgery; ADLs, activities of daily living; SR, systematic review; RCT, randomized controlled trials; CPG, clinical practice guideline.