The association between the day of the week of milestones in the care pathway of patients with hip fracture and 30-day mortality: findings from a prospective national registry – The National Hip Fracture Database of England and Wales

May 3, 2017

Source:  BMC Medicine, 2017, 15 (1) p. 62

Follow this link for fulltext

Date of publication: March 2017

Publication type: Research

In a nutshell: In this study, the association between the day of the week of care pathway milestones (admission, surgery, inpatient stay and discharge) and 30-day mortality was investigated. Sunday surgery and a delay to surgery of more than 24 hours were both associated with a 9.4% increase in 30-day mortality.

Length of publication: 13 pages

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.


Neck of femur fractures in the elderly: does every hour to surgery count?

March 20, 2017

Source:  Injury 2017, March 6 [epub]

Follow this link for abstract

Date of publication:  March 2017

Publication type:  Journal article

In a nutshell:  Looked at 1913 patients with neck of femur fractures to determine if early surgery before 12 hours confers a survival or length of stay benefit.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Injury


HIP QIP – Hip fracture quality improvement programme. Northumbria Healthcare NHS Foundation Trust

February 27, 2017

Source:  The Academy of Fabulous Stuff

Follow this link for fulltext/abstract

Date of publication: February 2017

Publication type: Website

In a nutshell: 176 hospitals admitted 70,000 patients with hip fracture last year. Ensuring safe, effective and equitable care for this large and often vulnerable group of patients remains a major public health issue. Overall one year mortality after hip fracture is high at around 30%. Northumbria Healthcare NHS Foundation Trust aimed to transform key stages of the patient pathway, establishing a multidisciplinary audit framework with 12 standards. Results included a 44% reduction in 30 day mortality Trust-wide.

Length of publication: 1 webpage

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: Northumbria Healthcare NHS Foundation Trust