e094ec38f892db2aeb2e37f083bc1d8a 335770.pdf b9b8714f5c38ca22a5fbc26ddefd5d823f490062 335770.pdf 8dd166237b11a762047fc5e37a352a4b17a160df171febdd4cc9ef8896340389 335770.pdf Title: Walking Recovery After Hip Fracture in Patients with Exceptional Longevity: Predictors and Association with Short- and Long-Term Survival Subject: Background: There are very few studies on walking recovery, its predictors and impact on survival in oldest-old patients after a hip fracture. Methods: This study is a retrospective review which included all patients older than 95 years admitted with a fragility hip fracture between December 2009 and September 2015 in a tertiary university hospital in Barcelona. Walking ability was assessed using the Functional Ambulation Classification (FAC) prior to admission and 6 months after discharge. The objective of our study is to assess walking recovery and its predictors in oldest-old patients at 6 months after discharge, and to determine whether there was a relationship with short and long-term survival. Results: One hundred and fifty-two patients were included in the study. Prior to the fracture, 78.3% of patients could walk independently, 36.8% after the fracture. A higher previous FAC score (p < 0.001, OR 3.658), absence of delirium during admission (p = 0.010, OR 3.45), and being able to carry out full weight-bearing (p = 0.026, OR 12.705) were associated with better walking recovery. The area under the ROC curve was 0.819 (p < 0.001). Mean survival after discharge was 2.24 years (SD 1.185). Patients with a post-fracture FAC 3 showed better survival. Conclusions: Predictors of walking recovery in patients with exceptional longevity were a higher previous FAC score, being able to carry out full weight-bearing, and absence of delirium. Patients able to walk unaided within six months of discharge showed better survival. These findings highlight the importance of functional outcomes when assessing prognosis in the oldest-old. Keywords: mortality; hip fracture; centenarians; exceptional longevity; oldest-old Author: Montserrat Barceló, Patricia Valentina Marquez, Ignasi Gich, Jordi Casademont and Olga H. Torres Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Tue Jun 30 07:46:27 2026 CEST ModDate: Tue Jun 30 07:52:15 2026 CEST Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 11 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 448930 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- CAFYPN+URWPalladioL-Roma Type 1 Custom yes yes yes 87 0 HZVQGS+URWPalladioL-Ital Type 1 Custom yes yes yes 88 0 WIYEYL+CMSY10 Type 1 Builtin yes yes yes 89 0 QMLVIX+URWPalladioL-Bold Type 1 Custom yes yes yes 90 0 MIKRSI+VnURWPalladioL Type 1 Custom yes yes yes 91 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes yes 171 0 GEMNMP+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 184 0 GEMNMN+PalatinoLinotype TrueType WinAnsi yes yes no 185 0 GEMNML+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 186 0 FCGBNO+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 191 0 FCGBMM+PalatinoLinotype TrueType WinAnsi yes yes no 192 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-09-02 04:07:34 CEST RepresentationInformation: 335770.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-09-01 12:19:19 CEST Size: 448930 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 396 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Methods Children: Item: Title: Setting Item: Title: Subjects Item: Title: Data Collection Item: Title: Statistical Analysis Item: Title: Results Item: Title: Discussion Item: Title: Conclusions Item: Title: References Info: Title: Walking Recovery After Hip Fracture in Patients with Exceptional Longevity: Predictors and Association with Short- and Long-Term Survival Author: Montserrat Barceló, Patricia Valentina Marquez, Ignasi Gich, Jordi Casademont and Olga H. Torres Subject: Background: There are very few studies on walking recovery, its predictors and impact on survival in oldest-old patients after a hip fracture. Methods: This study is a retrospective review which included all patients older than 95 years admitted with a fragility hip fracture between December 2009 and September 2015 in a tertiary university hospital in Barcelona. Walking ability was assessed using the Functional Ambulation Classification (FAC) prior to admission and 6 months after discharge. The objective of our study is to assess walking recovery and its predictors in oldest-old patients at 6 months after discharge, and to determine whether there was a relationship with short and long-term survival. Results: One hundred and fifty-two patients were included in the study. Prior to the fracture, 78.3% of patients could walk independently, 36.8% after the fracture. A higher previous FAC score (p < 0.001, OR 3.658), absence of delirium during admission (p = 0.010, OR 3.45), and being able to carry out full weight-bearing (p = 0.026, OR 12.705) were associated with better walking recovery. The area under the ROC curve was 0.819 (p < 0.001). Mean survival after discharge was 2.24 years (SD 1.185). Patients with a post-fracture FAC 3 showed better survival. Conclusions: Predictors of walking recovery in patients with exceptional longevity were a higher previous FAC score, being able to carry out full weight-bearing, and absence of delirium. Patients able to walk unaided within six months of discharge showed better survival. These findings highlight the importance of functional outcomes when assessing prognosis in the oldest-old. Keywords: mortality; hip fracture; centenarians; exceptional longevity; oldest-old Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Tue Jun 30 07:46:27 CEST 2026 ModDate: Tue Jun 30 07:52:15 CEST 2026 ID: 0xdb1486fc2555ea482e44dfccd45f59db, 0xa59b9c69eb44c3cb86992b6fc359e9ee Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: CAFYPN+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 250 FontDescriptor: FontName: CAFYPN+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: HZVQGS+URWPalladioL-Ital FontSubset: true FirstChar: 45 LastChar: 121 FontDescriptor: FontName: HZVQGS+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: WIYEYL+CMSY10 FontSubset: true FirstChar: 14 LastChar: 21 FontDescriptor: FontName: WIYEYL+CMSY10 Flags: Symbolic FontBBox: -29, -960, 1116, 775 FontFile: true ToUnicode: true Font: BaseFont: QMLVIX+URWPalladioL-Bold FontSubset: true FirstChar: 3 LastChar: 243 FontDescriptor: FontName: QMLVIX+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: MIKRSI+VnURWPalladioL FontSubset: true FirstChar: 225 LastChar: 225 FontDescriptor: FontName: MIKRSI+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: QLBIEB+URWPalladioL-BoldItal FontSubset: true FirstChar: 110 LastChar: 112 FontDescriptor: FontName: QLBIEB+URWPalladioL-BoldItal Flags: Symbolic FontBBox: -170, -300, 1073, 935 FontFile: true EncodingDictionary: Differences: true ToUnicode: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 34, 204, 124, 223 Annotation: Subtype: Link Rect: 88, 77, 152, 84 Annotation: Subtype: Link Rect: 34, 64, 119, 72 Annotation: Subtype: Link Rect: 34, 773, 179, 809 Annotation: Subtype: Link Rect: 515, 773, 560, 809 Annotation: Subtype: Link Rect: 155, 643, 166, 656 Annotation: Subtype: Link Rect: 384, 643, 395, 656 Annotation: Subtype: Link Rect: 500, 643, 511, 656 Annotation: Subtype: Link Rect: 127, 629, 138, 642 Annotation: Subtype: Link Rect: 549, 102, 556, 111 ActionDest: 50 Annotation: Subtype: Link Rect: 549, 75, 556, 83 ActionDest: 50 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 283, 744, 290, 754 ActionDest: 50 Annotation: Subtype: Link Rect: 290, 745, 297, 754 ActionDest: 50 Annotation: Subtype: Link Rect: 463, 703, 470, 712 ActionDest: 50 Annotation: Subtype: Link Rect: 456, 661, 463, 670 ActionDest: 50 Annotation: Subtype: Link Rect: 466, 661, 473, 670 ActionDest: 50 Annotation: Subtype: Link Rect: 489, 619, 496, 628 ActionDest: 50 Annotation: Subtype: Link Rect: 496, 619, 508, 628 ActionDest: 50 Annotation: Subtype: Link Rect: 528, 605, 540, 614 ActionDest: 50 Annotation: Subtype: Link Rect: 543, 605, 555, 614 ActionDest: 50 Annotation: Subtype: Link Rect: 425, 577, 436, 586 ActionDest: 50 Annotation: Subtype: Link Rect: 336, 550, 347, 559 ActionDest: 50 Annotation: Subtype: Link Rect: 348, 549, 360, 559 ActionDest: 50 Annotation: Subtype: Link Rect: 213, 171, 225, 180 ActionDest: 50 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 323, 728, 335, 737 ActionDest: 50 Annotation: Subtype: Link Rect: 256, 700, 268, 709 ActionDest: 50 Annotation: Subtype: Link Rect: 202, 519, 209, 528 ActionDest: 50 Annotation: Subtype: Link Rect: 209, 519, 221, 528 ActionDest: 50 Annotation: Subtype: Link Rect: 222, 519, 233, 528 ActionDest: 50 Annotation: Subtype: Link Rect: 186, 335, 560, 347 Annotation: Subtype: Link Rect: 165, 321, 270, 333 Annotation: Subtype: Link Rect: 260, 268, 272, 277 ActionDest: 165 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 213, 641, 220, 653 ActionDest: 35 Annotation: Subtype: Link Rect: 217, 334, 224, 346 ActionDest: 35 Annotation: Subtype: Link Rect: 244, 334, 251, 346 ActionDest: 111 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 196, 389, 203, 401 ActionDest: 112 Annotation: Subtype: Link Rect: 490, 153, 497, 165 ActionDest: 112 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 398, 602, 405, 611 ActionDest: 50 Annotation: Subtype: Link Rect: 290, 574, 302, 583 ActionDest: 50 Annotation: Subtype: Link Rect: 356, 561, 368, 569 ActionDest: 165 Annotation: Subtype: Link Rect: 396, 505, 408, 514 ActionDest: 50 Annotation: Subtype: Link Rect: 298, 463, 310, 472 ActionDest: 50 Annotation: Subtype: Link Rect: 233, 435, 245, 444 ActionDest: 50 Annotation: Subtype: Link Rect: 544, 379, 556, 388 ActionDest: 165 Annotation: Subtype: Link Rect: 231, 324, 238, 333 ActionDest: 50 Annotation: Subtype: Link Rect: 298, 268, 310, 277 ActionDest: 165 Annotation: Subtype: Link Rect: 323, 185, 335, 193 ActionDest: 165 Annotation: Subtype: Link Rect: 227, 73, 239, 82 ActionDest: 165 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 378, 730, 390, 740 ActionDest: 165 Annotation: Subtype: Link Rect: 442, 703, 454, 712 ActionDest: 165 Annotation: Subtype: Link Rect: 452, 661, 464, 670 ActionDest: 165 Annotation: Subtype: Link Rect: 465, 661, 477, 670 ActionDest: 165 Annotation: Subtype: Link Rect: 294, 605, 305, 614 ActionDest: 165 Annotation: Subtype: Link Rect: 430, 591, 442, 600 ActionDest: 165 Annotation: Subtype: Link Rect: 338, 522, 350, 531 ActionDest: 165 Annotation: Subtype: Link Rect: 368, 480, 380, 489 ActionDest: 165 Annotation: Subtype: Link Rect: 282, 438, 294, 447 ActionDest: 165 Annotation: Subtype: Link Rect: 295, 438, 307, 447 ActionDest: 165 Annotation: Subtype: Link Rect: 304, 341, 316, 350 ActionDest: 165 Annotation: Subtype: Link Rect: 318, 271, 325, 280 ActionDest: 50 Annotation: Subtype: Link Rect: 532, 132, 543, 141 ActionDest: 165 Annotation: Subtype: Link Rect: 514, 118, 526, 127 ActionDest: 50 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 544, 758, 556, 767 ActionDest: 50 Annotation: Subtype: Link Rect: 407, 730, 419, 740 ActionDest: 165 Annotation: Subtype: Link Rect: 185, 675, 197, 684 ActionDest: 165 Annotation: Subtype: Link Rect: 240, 661, 252, 670 ActionDest: 165 Annotation: Subtype: Link Rect: 259, 577, 271, 586 ActionDest: 165 Annotation: Subtype: Link Rect: 324, 550, 336, 559 ActionDest: 165 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 438, 618, 475, 629 Annotation: Subtype: Link Rect: 481, 618, 517, 629 Annotation: Subtype: Link Rect: 109, 594, 146, 604 Annotation: Subtype: Link Rect: 152, 594, 188, 604 Annotation: Subtype: Link Rect: 109, 568, 146, 578 Annotation: Subtype: Link Rect: 152, 568, 188, 578 Annotation: Subtype: Link Rect: 372, 542, 410, 553 Annotation: Subtype: Link Rect: 416, 542, 452, 553 Annotation: Subtype: Link Rect: 353, 504, 391, 515 Annotation: Subtype: Link Rect: 397, 504, 433, 515 Annotation: Subtype: Link Rect: 281, 478, 318, 489 Annotation: Subtype: Link Rect: 325, 478, 361, 489 Annotation: Subtype: Link Rect: 214, 440, 252, 451 Annotation: Subtype: Link Rect: 258, 440, 294, 451 Annotation: Subtype: Link Rect: 372, 389, 409, 400 Annotation: Subtype: Link Rect: 416, 389, 452, 400 Annotation: Subtype: Link Rect: 377, 376, 414, 387 Annotation: Subtype: Link Rect: 421, 376, 457, 387 Annotation: Subtype: Link Rect: 458, 350, 495, 361 Annotation: Subtype: Link Rect: 501, 350, 537, 361 Annotation: Subtype: Link Rect: 202, 325, 240, 336 Annotation: Subtype: Link Rect: 246, 325, 282, 336 Annotation: Subtype: Link Rect: 59, 275, 96, 285 Annotation: Subtype: Link Rect: 102, 275, 138, 285 Annotation: Subtype: Link Rect: 191, 248, 229, 259 Annotation: Subtype: Link Rect: 235, 248, 271, 259 Annotation: Subtype: Link Rect: 358, 223, 395, 234 Annotation: Subtype: Link Rect: 401, 223, 437, 234 Annotation: Subtype: Link Rect: 375, 197, 413, 208 Annotation: Subtype: Link Rect: 419, 197, 455, 208 Annotation: Subtype: Link Rect: 344, 172, 382, 183 Annotation: Subtype: Link Rect: 388, 172, 424, 183 Annotation: Subtype: Link Rect: 340, 146, 377, 157 Annotation: Subtype: Link Rect: 384, 146, 420, 157 Annotation: Subtype: Link Rect: 294, 121, 332, 132 Annotation: Subtype: Link Rect: 338, 121, 374, 132 Annotation: Subtype: Link Rect: 59, 83, 96, 93 Annotation: Subtype: Link Rect: 102, 83, 138, 93 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 464, 743, 501, 754 Annotation: Subtype: Link Rect: 507, 743, 543, 754 Annotation: Subtype: Link Rect: 325, 718, 361, 729 Annotation: Subtype: Link Rect: 520, 692, 557, 703 Annotation: Subtype: Link Rect: 59, 680, 95, 690 Annotation: Subtype: Link Rect: 59, 642, 96, 652 Annotation: Subtype: Link Rect: 102, 642, 138, 652 Annotation: Subtype: Link Rect: 519, 616, 557, 627 Annotation: Subtype: Link Rect: 59, 604, 95, 614 Annotation: Subtype: Link Rect: 317, 577, 354, 588 Annotation: Subtype: Link Rect: 360, 577, 396, 588 Annotation: Subtype: Link Rect: 413, 552, 450, 563 Annotation: Subtype: Link Rect: 457, 552, 493, 563 Annotation: Subtype: Link Rect: 245, 526, 283, 537 Annotation: Subtype: Link Rect: 289, 526, 325, 537 Annotation: Subtype: Link Rect: 219, 501, 256, 512 Annotation: Subtype: Link Rect: 262, 501, 298, 512 Annotation: Subtype: Link Rect: 476, 475, 514, 486 Annotation: Subtype: Link Rect: 520, 475, 556, 486 Annotation: Subtype: Link Rect: 158, 450, 195, 461 Annotation: Subtype: Link Rect: 202, 450, 238, 461 Annotation: Subtype: Link Rect: 377, 424, 415, 435 Annotation: Subtype: Link Rect: 421, 424, 457, 435 Annotation: Subtype: Link Rect: 277, 399, 315, 410 Annotation: Subtype: Link Rect: 321, 399, 357, 410 Annotation: Subtype: Link Rect: 186, 361, 223, 371 Annotation: Subtype: Link Rect: 229, 361, 265, 371 Annotation: Subtype: Link Rect: 95, 336, 132, 346 Annotation: Subtype: Link Rect: 138, 336, 174, 346 Annotation: Subtype: Link Rect: 519, 309, 557, 320 Annotation: Subtype: Link Rect: 59, 297, 95, 307 Annotation: Subtype: Link Rect: 336, 271, 374, 282 Annotation: Subtype: Link Rect: 380, 271, 416, 282 Annotation: Subtype: Link Rect: 90, 233, 128, 244 Annotation: Subtype: Link Rect: 134, 233, 170, 244 Annotation: Subtype: Link Rect: 401, 207, 438, 218 Annotation: Subtype: Link Rect: 444, 207, 480, 218 Annotation: Subtype: Link Rect: 131, 182, 168, 193 Annotation: Subtype: Link Rect: 175, 182, 211, 193 Annotation: Subtype: Link Rect: 221, 157, 259, 167 Annotation: Subtype: Link Rect: 265, 157, 301, 167 Annotation: Subtype: Link Rect: 230, 118, 268, 129 Annotation: Subtype: Link Rect: 274, 118, 310, 129 Annotation: Subtype: Link Rect: 423, 27, 560, 37 Checksum: 7a2dacac Type: CRC32 Checksum: e094ec38f892db2aeb2e37f083bc1d8a Type: MD5 Checksum: b9b8714f5c38ca22a5fbc26ddefd5d823f490062 Type: SHA-1 Checksum: 8dd166237b11a762047fc5e37a352a4b17a160df171febdd4cc9ef8896340389 Type: SHA-256