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 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.


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

March 20, 2017

Source:  Injury 2017, March 6 [epub]

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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


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


Impact of an integrated hip fracture inpatient program on length of stay and costs

December 22, 2016

Source:  Journal of Orthopaedic Trauma, 2016, 30 (12) p. 647-652

Follow this link for the abstract

Date of publication: 2016

Publication type: Research

In a nutshell: This study aimed to assess the effect of an integrated hip fracture co-management model on length of stay, cost per case, time to surgery, treatment of osteoporosis, utilisation of preoperative echocardiogram, mortality and readmission. It found that the integrated medical-surgical co-management model was associated with reduced length of stay, costs, time to surgery and increased initiation of appropriate osteoporosis treatment.

Length of publication: 6 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.


Delayed surgery in hip fracture patients. can we afford it?

May 12, 2016

Source:  International Journal of Health Planning and Management, 2 May 2016 [epub]

Follow this link for abstract

Date of publication:  May 2016

Publication type:  Journal article

In a nutshell:  Aimed to analyse whether time to surgery in hip fracture patients is associated with longer than expected length of stay and whether there is any particular group in which this is especially relevant, finding that increasing time to surgery leads to longer than expected length of stay, particularly in moderately dependent patients.

Length of publication:  7 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:  International Journal of Health Planning and Management


Prehospital fast track care for patients with hip fracture: impact on time to surgery, hospital stay, postoperative complications and mortality: a randomized controlled trial

February 11, 2016

Source:  Injury 2016, 8 February [epub]

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Date of publication:  February 2016

Publication type:  Journal article

In a nutshell:  Study examines whether PFTC has any impact on outcomes such as time to surgery, length of stay, postoperative complications and mortality.  400 patients were randomised to PFTC or the traditional A&E pathway.  PFTC improved time to x-ray and admission to ward as expected, but did not significantly affect time to start of surgery, length of stay, postoperative complications or mortality, though these outcomes were probably affected by other factors at the hospital.

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