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

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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.


Risk of postoperative complications increased with longer surgical delay of hip fractures

March 20, 2017

Source:  Healio Orthopedics Today

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Date of publication: March 17th 2017

Publication type: News item

In a nutshell: Patients with hip fractures who experienced a surgical delay of 2 days or more had a greater risk of postoperative complications, according to research presented at the Annual Meeting of the American Academy of Orthopaedic Surgeons. Using the American College of Surgeons’ National Surgical Quality Improvement Program, the researchers assessed 30-day individual and overall complication rates among 4,696 patients aged 60 years or older who underwent treatment for hip fractures and compared the rates between various time-based cohorts.

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: American Academy of Orthopaedic Surgeons Annual Meeting March 14-18, 2017; San Diego


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

February 27, 2017

Source:  The Academy of Fabulous Stuff

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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


UK hip fracture program at six hospitals seeks to save lives

January 18, 2017

Source:  Healio Orthopaedics Today Europe 2017, January [epub]

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Date of publication:  January 2017

Publication type:  Journal article

In a nutshell:  Details the hip fracture programme in use at 6 English hospitals and the patient outcomes and benefits they hope to achieve such as reduced mortality and earlier mobilisation.

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:  Healio


Predictors of hospital 30-day readmission after hip fracture: a systematic review

January 16, 2017

Source:  Injury 2017, January 3 [epub]

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Date of publication:  January 2017

Publication type:  Journal article

In a nutshell:   Authors conducted a systematic review of bibliographic databases and reference lists up to July 2016 to identify primary research papers assessing the effect of patient- and hospital-related risk factors for 30-day readmission to hospital after hip fracture.

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


When is the ideal time to operate on a patient with a fracture of the hip?

December 22, 2016

Source:  Bone & Joint Journal 2016, 98(12), 1573–81

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Date of publication:  December 2016

Publication type:  Journal article

In a nutshell:  Reviews the literature on timing to fracture surgery, drawing conclusions that take into account evidence on fast-track surgery, financial pressures, and availability of staff.

Length of publication:  9 pages

Some important notes:  You may 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: Bone & Joint Journal


Improving hip fracture outcomes with integrated orthogeriatric care: a comparison between two accepted orthogeriatric models

December 22, 2016

Source:  Age and Ageing, 14th December 2016 [epub ahead of print]

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Date of publication: 2016

Publication type: Research

In a nutshell: An orthopaedic trauma unit changed its hip fracture pathway from a consultation service for older people to an integrated orthogeriatric model. The intervention resulted in a reduction in mean length of stay, reduced mean time to surgery and a reduction in 30-day mortality.

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.