Table 1 Characteristics of studies included in the meta-analysis. FTS fast track surgery, NA not applicable
Author | Publication year | Characteristics of study population | Hip fracture surgery | FTS measures | Follow-up | Endpoints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sample size (n) | Age (years) | Women, No. (%) | ||||||||||
E | C | E | C | E | C | E | C | |||||
Li [21] | 2016 | 60 | 60 | 72.05±6.37 | 70.43±5.83 | 21 (35.00) | 24 (40.00) | Total hip arthroplasty; hemiarthroplasty | Total hip arthroplasty; hemiarthroplasty | 1, 2, 3, 4, 5, 7, 8 | 8 weeks | LOS, Harris hip joint function score, satisfaction, VTE, dislocation of prosthesis |
Tian [22] | 2016 | 40 | 40 | NA | NA | NA | NA | Total hip arthroplasty | Total hip arthroplasty | 1, 2, 8 | 6 months | LOS, respiratory, incision infection |
Xu [23] | 2016 | 55 | 55 | 73.58±5.27 | 73.45±5.46 | 32 (58.18) | 34 (61.82) | Hip arthroplasty; internal fixation | Hip arthroplasty; internal fixation | 1, 2, 3, 4, 5, 6, 7, 8 | 6 months | LOS, Harris hip joint function score, respiratory, urinary tract infection, VTE, pressure sores, dislocation of prosthesis |
Yang [24] | 2016 | 126 | 132 | 64.2±9.4 | 66.3±8.6 | 70 (27.1) | 67 (26.0) | Unilateral hip arthroplasty | Unilateral hip arthroplasty | 1, 2, 6, 7, 8 | 3 months | LOS, VTE, dislocation of prosthesis |
Zhang [25] | 2016 | 56 | 52 | 73.91±7.18 | 74.28±6.85 | 38 (67.86) | 37 (71.15) | Hip arthroplasty; internal fixation | Hip arthroplasty; internal fixation | 1, 4, 6, 7, 8 | NA | LOS, Harris hip joint function score, VAS, respiratory, urinary tract infection, VTE, pressure sores |
Chen 1 [26] | 2017 | 106 | 92 | 68.5±4.1 | 67.7±4.3 | 61 (57.55) | 50 (54.35) | NA | NA | 1, 2, 4, 5, 6, 7, 8 | NA | LOS, satisfaction, cost, VTE, pressure sores, constipation |
Chen 2 [27] | 2017 | 40 | 40 | NA | NA | NA | NA | Unilateral hip arthroplasty | Unilateral hip arthroplasty | 1, 7, 8 | 3d, 7d, 1 month, 3 months | Harris hip joint function score, VAS, respiratory, VTE, dislocation of prosthesis |
Fu [28] | 2017 | 40 | 40 | NA | NA | NA | NA | NA | NA | 1, 2, 4, 6, 7, 8 | 2 weeks, 1 month, 3 months, 6 months | Harris hip joint function score, VAS, respiratory, urinary tract infection, VTE, pressure sores |
Li [29] | 2017 | 45 | 45 | NA | NA | NA | NA | Hip arthroplasty | Hip arthroplasty | 2, 4, 8 | 8 weeks | Harris hip joint function score |
Liu [30] | 2017 | 41 | 41 | 53.08±2.07 | 56.02±1.85 | 12(29.27) | 14(34.15) | Hip arthroplasty | Hip arthroplasty | 3, 4, 6, 8 | 6 months | LOS, respiratory, urinary tract infection, VTE, incision infection |
Wan [31] | 2017 | 43 | 43 | NA | NA | NA | NA | Hip arthroplasty | Hip arthroplasty | 1, 4, 7, 8 | NA | LOS |
Wei [32] | 2017 | 50 | 50 | 74.1±6.3 | 73.2±5.2 | NA | NA | NA | NA | 1, 2, 3, 4, 5, 6, 7, 8 | NA | LOS, satisfaction, VTE |
Yu [33] | 2017 | 40 | 40 | NA | NA | NA | NA | Hip arthroplasty | Hip arthroplasty | 3, 4, 5, 6, 7, 8 | 6 months | LOS, Harris hip joint function score, cost, respiratory, urinary tract infection, VTE, incision infection |
Zhang [34] | 2017 | 43 | 43 | 70.13±3.75 | 69.38±3.46 | 18 (41.86) | 17 (39.53) | Hip arthroplasty | Hip arthroplasty | 1, 3, 4, 7, 8 | NA | LOS, Harris hip joint function score, VTE, pressure sores |
Zou [35] | 2017 | 40 | 40 | NA | NA | NA | NA | NA | NA | 8 | NA | LOS, Harris hip joint function score, respiratory, urinary tract infection, VTE |
Ding [36] | 2018 | 45 | 45 | 66.2±3.5 | 65.8±3.4 | 20 (44.44) | 19 (42.22) | Total hip arthroplasty, unilateral hip arthroplasty | Total hip arthroplasty, unilateral hip arthroplasty | 1, 2, 4, 5, 7, 8 | NA | LOS, cost, respiratory, urinary tract infection, VTE, constipation |
Jin [37] | 2018 | 40 | 40 | 70.3±4.5 | 69.3±4.2 | 17 (42.50) | 18 (45.00) | Hip arthroplasty, reduction of hip fracture | Hip arthroplasty, reduction of hip fracture | 4, 7, 8 | NA | LOS, VAS |
Li 1 [38] | 2018 | 41 | 41 | 63.5±3.5 | 64.5±4.5 | 18 (43.90) | 19 (46.34) | Hip arthroplasty | Hip arthroplasty | 1, 4, 6, 7, 8 | NA | Harris hip joint function score, VTE |
Li 2 [39] | 2018 | 60 | 60 | 78.77±7.62 | 76.33±8.75 | 32 (53.33) | 29 (48.33) | NA | NA | 3, 4, 6, 8 | NA | LOS, respiratory, urinary tract infection, VTE, pressure sores |
Liu [40] | 2018 | 53 | 53 | 72.42±2.29 | 72.39±2.25 | 17 (32.08) | 20 (37.74) | NA | NA | 1, 4, 7, 8 | NA | VAS |
Qian [41] | 2018 | 41 | 41 | 81.35±4.77 | 81.21±4.46 | 17 (41.46) | 18 (43.90) | Reduction of hip fracture, hip arthroplasty | Reduction of hip fracture, hip arthroplasty | 1, 4, 7, 8 | 5 months | Harris hip joint function score, VAS |
Wang [42] | 2018 | 47 | 46 | 79.47±8.36 | 79.58±8.42 | 22 (46.81) | 21 (45.65) | Hip arthroplasty | Hip arthroplasty | 1, 4, 5, 7, 8 | NA | LOS, satisfaction, the leaving bed time, urinary tract infection, VTE, incision infection |
Yang 1 [43] | 2018 | 50 | 50 | 58.52±8.53 | 57.96±8.41 | 25 (50.00) | 24 (48.00) | Hip arthroplasty | Hip arthroplasty | 1, 2, 3, 5, 7, 8 | NA | LOS, Harris hip joint function score, VTE, pressure sores |
Yang [44] | 2018 | 40 | 40 | 57.4 ±11.3 | 58.3 ±12.9 | 22 (55.00) | 19 (47.50) | Hip arthroplasty | Hip arthroplasty | 1, 2, 4, 7, 8 | 1d, 3d, 7d | VAS, the leaving bed time, VTE, incision infection |
You [45] | 2018 | 100 | 100 | 86±5.1 | 82±5.3 | 40 (40.00) | 42 (42.00) | PFNA internal fixation | PFNA internal fixation | 1, 2, 3, 4, 5, 6, 7, 8 | NA | LOS, satisfaction, cost |
Zang [46] | 2018 | 40 | 40 | 71.5±1.5 | 70.5±3.0 | 19 (47.50) | 20 (50.00) | Femoral head replacement | Femoral head replacement | 1, 2, 4, 7, 8 | 18 months | Satisfaction |
Zhai [47] | 2018 | 40 | 40 | 73.45±2.54 | 72.99±3.14 | 19 (47.50) | 22 (55.00) | NA | NA | 1, 5, 7, 8 | NA | Satisfaction, VTE, pressure sores |
Zheng [48] | 2018 | 45 | 45 | 71.16±5.05 | 71.08±5.07 | 19 (42.22) | 20 (44.44) | Hip arthroplasty | Hip arthroplasty | 4, 6, 7, 8 | 6 months | LOS, Harris hip joint function score, cost, VTE |
Zuo [49] | 2018 | 40 | 41 | 72.36±10.48 | 71.72±10.2 4 | 19 (47.50) | 18 (43.90) | Hip arthroplasty | Hip arthroplasty | 1, 4, 5, 6, 8 | 3 months | Harris hip joint function score, respiratory, VTE |
Bai [50] | 2019 | 64 | 64 | NA | NA | NA | NA | Total hip arthroplasty, unilateral hip arthroplasty | Total hip arthroplasty, unilateral hip arthroplasty | 1, 2, 4, 5, 7, 8 | 3 months | Harris hip joint function score, VTE, pressure sores, dislocation of prosthesis |
Bao [51] | 2019 | 49 | 48 | NA | NA | NA | NA | NA | NA | 2, 4, 5, 6, 7, 8 | 6 months | Harris hip joint function score, VAS, respiratory, urinary tract infection, VTE, pressure sores |
Chen [52] | 2019 | 44 | 43 | 68.21±6.44 | 65.58±6.34 | 29 (65.91) | 28 (65.12) | Hip arthroplasty | Hip arthroplasty | 1, 3, 4, 7, 8 | NA | LOS, satisfaction, the leaving bed time, cost |
Fusco [53] | 2019 | 40 | 40 | NA | NA | 0 | 0 | Hip arthroplasty | Hip arthroplasty | 8 | 12 months | Cost |
Guo 1 [54] | 2019 | 51 | 51 | 72.6±3.5 | 72.3±3.4 | 18 (35.29) | 21 (41.18) | Hip arthroplasty | Hip arthroplasty | 1, 2, 3, 4, 5, 7, 8 | 7d | LOS, respiratory, VTE, incision infection |
Guo 2 [55] | 2019 | 42 | 42 | 82.24±4.58 | 82.29±4.73 | 17 (40.48) | 18 (42.86) | NA | NA | 1, 4, 7, 8 | 5 months | Harris hip joint function score |
He [56] | 2019 | 43 | 43 | 83.85±3.79 | 82.47±3.18 | 19 (44.19) | 21 (48.84) | Reduction of hip fracture, hip arthroplasty | Reduction of hip fracture, hip arthroplasty | 1, 4, 8 | NA | LOS, Harris hip joint function score, VAS, cost, urinary tract infection, VTE, pressure sores |
Huang [57] | 2019 | 40 | 40 | NA | NA | NA | NA | Hip arthroplasty | Hip arthroplasty | 1, 8 | NA | LOS |
Jia [58] | 2019 | 60 | 60 | NA | NA | NA | NA | Hip arthroplasty | Hip arthroplasty | 1, 2, 4, 5, 6, 8 | NA | LOS, VAS, satisfaction, the leaving bed time, VTE, pressure sores |
Jiang [59] | 2019 | 43 | 43 | 46.5±2.4 | 41.5±5.7 | 20 (46.51) | 24 (55.81) | NA | NA | 1, 4, 7, 8 | 5 months | Satisfaction |
Jin 1 [60] | 2019 | 43 | 43 | 68.5±5.6 | 66.4±5.6 | 23 (53.49) | 21 (48.84) | NA | NA | 1, 4, 5, 8 | NA | LOS, satisfaction, cost |
Jin 2 [61] | 2019 | 132 | 146 | 73.5±7.6 | 71.7±5.2 | 103 (78.03) | 101 (69.18) | Hip arthroplasty | Hip arthroplasty | 4, 5, 6, 7, 8 | 1d, 2d, 1 week | The leaving bed time, respiratory, urinary tract infection, VTE, incision infection |
Li [62] | 2019 | 40 | 40 | 62.30±10.40 | 62.25±10.34 | 18 (45.00) | 17 (42.50) | Hip arthroplasty | Hip arthroplasty | 1, 2, 3, 4, 6, 7, 8 | 1 month, 3 months | LOS, cost |
Liang [63] | 2019 | 53 | 53 | 76.7±2.4 | 77.9±2.7 | 24 (45.28) | 21 (39.63) | NA | NA | 1, 4, 5, 6, 7, 8 | 3 months | Harris hip joint function score, respiratory, urinary tract infection, VTE, pressure sores |
Liu [64] | 2019 | 60 | 60 | 81.9±4.9 | 81.6±5.2 | 17 (28.33) | 13 (21.67) | NA | NA | 3, 5, 6, 8 | NA | LOS |
Sun [65] | 2019 | 45 | 45 | 69.24±2.89 | 69.78±2.82 | 13 (28.89) | 14 (31.11) | NA | NA | 1, 3, 4, 5, 6, 7, 8 | NA | Harris hip joint function score, satisfaction, respiratory, urinary tract infection, VTE, pressure sores |
Xiao [66] | 2019 | 40 | 40 | 72.11±4.35 | 71.39±4.15 | 17 (42.50) | 19 (47.50) | Unilateral hip arthroplasty | Unilateral hip arthroplasty | 1, 4, 8 | NA | VTE, constipation |
Yang [67] | 2019 | 56 | 56 | 70.24±17.76 | 71.57±17.43 | 33 (58.93) | 32 (57.14) | Hip arthroplasty; Internal fixation | Hip arthroplasty; Internal fixation | 1, 7, 8 | NA | LOS |
Yu [68] | 2019 | 66 | 60 | 73.94±3.87 | 73.77±4.25 | 40 (60.60) | 37 (61.67) | Hip arthroplasty; Internal fixation | Hip arthroplasty; Internal fixation | 1, 2, 4, 5, 7, 8 | 3 months | LOS, satisfaction, respiratory, urinary tract infection, VTE, dislocation of prosthesis |
Zhang [69] | 2019 | 49 | 49 | 73.14±2.28 | 73.75±2.54 | 20 (40.82) | 22 (44.90) | Hip arthroplasty | Hip arthroplasty | 4, 6, 8 | NA | LOS, satisfaction |
Zhu [70] | 2019 | 90 | 90 | 72.1±8.3 | 72.4±8.6 | 52 (57.78) | 50 (55.56) | NA | NA | 1, 4, 6, 7, 8 | 6 months | Harris hip joint function score, VAS, respiratory, urinary tract infection, VTE, pressure sores, incision infection |
Borges [71] | 2020 | 1487 | 1483 | NA | NA | 1031 (69.33) | 1022 (68.91) | Open reduction and internal fixation, hip arthroplasty | Open reduction and internal fixation, hip arthroplasty | NA | NA | Respiratory, VTE, pressure sores |
Du [72] | 2020 | 50 | 50 | 83.1±2.4 | 84.6±2.8 | 38 (76.00) | 34 (68.00) | Total hip arthroplasty | Total hip arthroplasty | 1, 4, 5, 6, 7, 8 | 6 months | Harris hip joint function score, VAS, the leaving bed time, urinary tract infection, VTE, pressure sores, dislocation of prosthesis |
Ge [73] | 2020 | 40 | 40 | NA | NA | 27 (67.50) | 28 (70.00) | Hip arthroplasty | Hip arthroplasty | 1, 3, 4, 5, 6, 7, 8 | 3 months | LOS, Harris hip joint function score, VTE, constipation |
Jiang [74] | 2020 | 40 | 40 | NA | NA | NA | NA | Internal fixation | Internal fixation | 8 | 2 weeks, 1 month, 3 months | Harris hip joint function score, respiratory, urinary tract infection, VTE, constipation |
Liang [75] | 2020 | 47 | 47 | 46.58±5.97 | 47.83±5.52 | 20 (42.55) | 21 (44.68) | Hip arthroplasty | Hip arthroplasty | 1, 3, 4, 7, 8 | NA | LOS, satisfaction, the leaving bed time, cost |
Yu [76] | 2020 | 47 | 47 | 76.5±3.2 | 75.9±3.8 | 19 (40.43) | 20 (42.55) | NA | NA | 1, 3, 4, 6, 7 | NA | LOS, VAS, satisfaction, the leaving bed time, respiratory, urinary tract infection, VTE, pressure sores |
Zheng [77] | 2020 | 80 | 80 | 59.66±5.26 | 59.63±5.14 | 33 (41.25) | 35 (43.75) | Hip arthroplasty | Hip arthroplasty | 1, 7, 8 | 1 month, 6 months | Harris hip joint function score |