The new APGAR SCORE: A checklist to enhance quality of life in geriatric patients with hip fracture

August 3, 2017

Source:  Journal of Bone and Joint Surgery (American), 2017, 99 (14) p. e77

Follow this link for the abstract

Date of publication: July 2017

Publication type: Journal article

In a nutshell: The authors of this article have identified 10 steps to be undertaken for patients admitted with geriatric hip fracture. The acronym APGAR SCORE includes the 10 elements of alimentation, polypharmacy, gait, advance care planning, reversible cognitive impairment, social support, cataracts, osteoporosis, referrals and environment after discharge. The checklist is designed to identify the possible medical, social, psychological and other problems associated with geriatric patients with hip fracture.

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.

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Hip fractures: appropriate timing to operative intervention

July 26, 2017

Source:  Journal of Arthroplasty 2017, July 25 [epub]

Follow this link for abstract

Date of publication:  July 2017

Publication type:  Journal article

In a nutshell:  Looked at 4,215 patients who underwent surgery for hip fracture.  Concludes that surgical delay of ≥2 days confers an increased risk of complications in those undergoing non THA procedures, and recommends surgical intervention prior to 48 hours from hospital admission.

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:  Journal of Arthroplasty


The weekend effect for hip factor surgery

May 24, 2017

Source:  Injury 2017, May 15 [epub]

Follow this link for abstract

Date of publication:  May 2017

Publication type:  Journal article

In a nutshell:  Investigates the effect of weekend admission and weekend surgery on 30-day and 1-year mortality following hip fracture surgery in a hospital in the Netherlands.   This study did not find any effects of weekend admissions/surgery; however the reader will need an understanding of the levels of weekend staffing in the Netherlands compared to the NHS in England.

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


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

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


UK hip fracture program at six hospitals seeks to save lives

January 18, 2017

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

Follow this link for abstract

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