The frail fail: increased mortality and post-operative complications in orthopaedic trauma patients

Source:  Injury 2017, August 18 [epub]

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  investigates the utility of the Modified Frailty Index as a predictor of morbidity and mortality in orthopaedic trauma patients.  Uses the American College of Surgeons NSQIP database to identify patients aged 60 and above who underwent surgery for pelvis and lower extremity fractures between 2005–2014, calculating an MFI score for each patient.  Found that MFI was a significant predictor of morbidity and mortality in orthopaedic trauma patients and can be used by a multidisciplinary team to improve outcomes.

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

A patient’s perception of their hospital stay influences the functional outcome and satisfaction of total knee arthroplasty

Source:  Archives of Orthopaedic and Trauma Surgery 2017 137(5) 693–700

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Date of publication:  May 2017

Publication type:  Journal article

In a nutshell:  Looked at total knee arthroplasty patient outcome data over a 5-year period and satisfaction with their hospital stay was also evaluated and their reasons for it were qualitatively documented.  Concluded that a patient’s perception of their inpatient hospital experience after surgery is an important modifiable predictor of early functional outcome and satisfaction with TKA.

Length of publication:  8 pages

Acknowledgement:  Archives of Orthopaedic and Trauma Surgery

UK hip fracture program at six hospitals seeks to save lives

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

What’s new in hip replacement

Source:  Journal of Bone & Joint Surgery 2016, 98(18), 1586-93

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Date of publication:  September 2016

Publication type:  Journal article

In a nutshell:  Summarises recent developments in hip replacement surgery.

Length of publication:  8 pages

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:  JBJS

Day of surgery and surgical start time affects hospital length of stay after total hip arthroplasty

Source:  Journal of Arthroplasty 2016, July 8 [epub]

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Date of publication:  July 2016

Publication type:  Journal article

In a nutshell:   Study aims to evaluate the effect of surgical scheduling (day of week and start time) on clinical outcomes, hospital length of stay, and rate of discharge in total hip arthroplasty patients, concluding that patients who underwent THA on Thursday or Friday or had start times after 2pm had significantly extended hospital LOS.  This has implications for surgical scheduling and perioperative staffing in order to minimise LOS.

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

Enhanced recovery programmes after total hip arthroplasty can result in reduced length of hospital stay without compromising functional outcome

Source:  Bone & Joint Journal 2016, 98(4), 475-82

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Date of publication:  April 2016

Publication type:  Journal article

In a nutshell:  Study aimed to investigate the effect of an enhanced recovery program on the short-term functional outcome after total hip arthroplasty.  The program was shown to be a significant independent factor which shortened length of stay, and the rates of dislocation and mortality one year post-operatively were not found to be significantly different.

Length of publication:  8 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

Quality of care for patients with a fracture of the hip in major trauma centres

Source:  Bone & Joint Journal 2015, 98(3), 414-419

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Date of publication:  February 2016

Publication type:  Journal article

In a nutshell:  study looks at all patients included in the UK National Hip Fracture Database from April 2010 to December 2013 to investigate whether designation as a major trauma centre (MTC) affects the quality of care for patients with a fracture of the hip.

Length of publication:  6 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