Study ID | Setting | Country; trial start | Early surgery (< 48 hours) | Anaesthesia | Type of surgery | Early mobilisation? | Early supported discharge? | Current treatment practice? | Notes |
Inpatient rehabilitation | |||||||||
Baroni 2019 | Hospital | Italy; 2012 | No (31%) | NR | NR, 7 (3%) had conservative treatment | NR | No | No | Italy ‐ generally has longer time to surgery |
Cameron 1993 | Hospital | Australia; 1989 | Mean 1.8 days | NR | NR | No (part of intervention) | No (part of intervention) | No | Usual care not well described |
Chong 2013 | Hospital | Singapore; 2004 | NR | NR | Inconsistent data from 93% population. bipolar hemiarthroplasty 20.5%; Moore's hemiarthroplasty 17%; dynamic hip screw 50%; others. | NR ‐ unlikely 49% were not weight‐bearing on admission to rehabilitation | No | No (except for Singapore) | Not enough information but high rate of non‐weight‐bearing |
Fordham 1986 | Hospital | UK; 1984 | No, 48% within 2 days, but 30% 5 days or over | NR | Mixed but some dated. Included 59 (55%) screws; 20 (18.5%) pin and plates; 16 (15%) cemented Hastings | NR, unlikely | No | No | Dated trial |
Galvard 1995 | Hospital | Sweden; 1988 | NR | NR | Cervical: 2 nails; trochanteric: sliding screw | NR | No, long hospital stays | No | Dated trial |
Gilchrist 1988 | Hospital | UK; 1984 | Yes (90%) | 96% general | NR | NR | NR | Unlikely | Dated trial but early surgery |
Huusko 2002 | Hospital | Finland; 1994 | Likely. Median 1 day | NR | NR | No (part of intervention) | Not really. Moved to rehabilitation or local hospital ward | Unclear | Dated trial but early surgery |
Jette 1987 | Hospital | USA; 1984 | NR | NR | In part but some old implants | No ‐ 6 weeks for unstable fractures | No | No | Dated trial |
Kennie 1988 | Hospital | UK; before 1986 | NR (but recommended in a later paper 1990) | spinal 24% general 76% | 42% hemiarthroplasty 43% dynamic hip screw | No (part of intervention) | No | No | Dated trial |
Marcantonio 2001 | Hospital | USA; before 1999 | NR | NR | NR in full | No (part of intervention) | NR | Unclear | Focus on delirium ‐ hard to judge |
Naglie 2002 | Hospital | Canada; 1993 | Mean 1.35 days | NR | Pin + plate 60% hemiarthroplasty 30% other 10% | No (part of intervention) | No | No | Dated trial (surgery) |
Prestmo 2015 | Hospital | Norway; 2008 | Mean 29 hours | Mostly spinal anaesthesia (after pre‐op femoral nerve block) | 41% hemiarthroplasty; 18% screws; 33% bone plates and screws; others | No (part of intervention) | Yes for intervention group | Unclear | Intervention includes several aspects of current practice |
Sanchez Ferrin 1999 | Hospital | Spain; 1996 | NR | NR | Vague | NR | NR | No | Spain ‐ generally has longer time to surgery |
Shyu 2008 | Hospital | Taiwan; 2001 | NR | NR | 37% hemiarthroplasty; 63% internal fixation | No (part of intervention) | NR but policy to send home quickly | No (except for Taiwan) | Taiwan’s healthcare system differs from those in most Western countries, including underdevelopment of community‐based, long‐term‐care services. |
Shyu 2013a | Hospital | Taiwan; 2005 | No, but mean 2.2 days | NR | 38% arthroplasty; 62% internal fixation | No (part of intervention) | NR but policy to send home quickly | No (except for Taiwan) | Comment in Shyu 2008 is likely to apply |
Stenvall 2007a | Hospital | Sweden; 2000 | Mean 25 hours | NR | 2 hook‐pins 35%; bipolar hemiarthroplasty: 56%; dynamic hip screw: 8.5% for basocervical fractures | Yes policy within 24 hours | No | Unclear | Types of surgery more common in Sweden |
Swanson 1998 | Hospital | Australia; 1994 | 60 (84.5%) had surgery within 48 hours (11 exceptions; reasons given) (part of intervention) |
Regional anaesthesia used (63.2% versus 42.4%); (part of intervention) | internal fixation (65%) or hemiarthroplasty (35%) | No (part of intervention) | No (part of intervention) | Unclear | Intervention includes several aspects of current practice |
Tseng 2019 | Hospital and community (intervention group) | Taiwan; 2010 | NR | NR | 45.5% arthroplasty; 54.5% internal fixation | No (part of intervention) | NR but policy to send home quickly | No (except for Taiwan) | Comment in Shyu 2008 is likely to apply |
Uy 2008 | Hospital | Australia; 2001 | NR | NR | hemiarthroplasty for intracapsular fractures; compression screw and plate for trochanteric fractures | Likely (also part of intervention) | Special group (part of intervention) | Unclear | All came from nursing care facilities and control group of early return reflects usual practice |
Vidan 2005 | Hospital | Spain; 1997 | No, mean 77.2 hours | 96% regional anaesthesia | Non‐specific internal fixation (60%), replacement (35%), other | No ‐ rehabilitation started on average 9.3 days | No | No | Spain ‐ generally has longer time to surgery |
Watne 2014 | Hospital | Norway; 2009 | Yes, median 26 and 24 hours | 92% spinal anaesthesia | 44% hemiarthroplasty 54% osteosynthesis 1 total hip replacement not operated 3 (1%) | Yes (policy) | Partly (part of intervention too). Length of stay data indicated this applied generally | Yes (see next box) | Note that no mention of specific early discharge for nursing home patients |
Ambulatory rehabilitation | |||||||||
Ashe 2019 | Community (outpatients and home) |
Canada; 2011 | NR | NR | NR | NR | NR | Unsure | No details to judge |
Crotty 2003 | Hospital and community (intervention group) | Australia; 1998 | NR | NR | Internal fixation 41%; replacement 59%; 1 total hip replacementa | Yes, median 1 day to mobilise | No (part of intervention) | Unsure | Intervention includes several aspects of current practice |
Crotty 2019 | Community (nursing home / care facility) | Australia; 2012 | Yes (88% within 24 hours) | NR | More intramedullary nail for extracapsular fractures (79%); very few total hip replacements for intracapsular fractures (2.3%)a | NR but unlikely in context | Early discharge as back to nursing home | Yes (for these patients) | Country‐ and circumstances‐dependent. All came from nursing care facilities |
Karlsson 2016 | Hospital and community (intervention group) | Sweden; 2008 | NR | NR | NR | Yes (policy) | Yes for intervention group | Unclear | ‐ |
Ryan 2006 | Community (at home) | UK; 2000 | NR | NR | NR | NR | No. Length of hospital stay was probably over a month on average | Unclear | Unlikely in terms of discharge timing |
Singh 2012 | Community (outpatients and home) | Australia; 2003 | NR | NR | NR | NR | NR | Unclear | No information on these |
Ziden 2008 | Hospital and community (intervention group: home) | Sweden; 2004 | NR | NR | NR | Yes, policy: within 48 hours | No: supported discharge was an aim of one intervention but no indication of early | Unclear | Insufficient evidence to judge |