Riassunto dello studio

Two hundred three patients aged 65 and older with hip fractures were randomized to receive either Fragility Fracture Integrated Rehabilitation Management (FIRM) (n=108) or conventional rehabilitation (n=95). The primary outcome of interest was ambulatory function, assessed using Koval and Functional Ambulation Category (FAC) scores. Secondary outcomes of interest included mobility (MRMI), balance (BBS), ADLs (MBI, K-IADL), cognition (MMSE), depression (GDS), quality of life (EQ5D), frailty (K-FRAIL), and handgrip strength. Outcomes were assessed at admission, discharge, and at 3, 6, and 12 months post-surgery. Overall, the results of the study revealed that FIRM led to significantly better ambulatory function and higher rates of independent ambulation and return to prefracture status compared to conventional rehabilitation at all follow-up points. These findings suggest that a structured, multidisciplinary rehabilitation model like FIRM can meaningfully improve long-term recovery after hip fracture surgery in older adults.