Gautam Kumar1. 1. Department of Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK. Gautam.kumar@nhs.net
Abstract
OBJECTIVE: To see if protocolised hip fracture care led to an improvement in patient management and more standardized treatment with the aim of reducing wait for surgery and postoperative length of stay. DESIGN: Following the introduction and establishment of a care pathway a retrospective, observational audit was conducted with patient data and pathway compliance obtained from analysing medical notes and accessing electronic patients' records. SETTING: The audit analysed all patients who sustained a fractured hip admitted to University College London Hospital over 18-month period between August 2009 and February 2011. MEASUREMENTS: In addition to demographic data, a comparison was made between those who were and were not managed with the care pathway. Investigation, preoperative management, time to surgery, length of stay and mortality were all evaluated. RESULTS: Patients managed via the care pathway had significantly more investigations and preoperative interventions, had subsequently had a reduced length of hospital stay (a mean average of 13 compared to 17 days). There was no significant difference in time from admission to surgery, and 30-day mortality. CONCLUSIONS: Using a care pathway to manage those patients sustaining fractured femur appears to make preoperative management more consistent. This, in turn, leads to a reduction in length of hospital stay.
OBJECTIVE: To see if protocolised hip fracture care led to an improvement in patient management and more standardized treatment with the aim of reducing wait for surgery and postoperative length of stay. DESIGN: Following the introduction and establishment of a care pathway a retrospective, observational audit was conducted with patient data and pathway compliance obtained from analysing medical notes and accessing electronic patients' records. SETTING: The audit analysed all patients who sustained a fractured hip admitted to University College London Hospital over 18-month period between August 2009 and February 2011. MEASUREMENTS: In addition to demographic data, a comparison was made between those who were and were not managed with the care pathway. Investigation, preoperative management, time to surgery, length of stay and mortality were all evaluated. RESULTS:Patients managed via the care pathway had significantly more investigations and preoperative interventions, had subsequently had a reduced length of hospital stay (a mean average of 13 compared to 17 days). There was no significant difference in time from admission to surgery, and 30-day mortality. CONCLUSIONS: Using a care pathway to manage those patients sustaining fractured femur appears to make preoperative management more consistent. This, in turn, leads to a reduction in length of hospital stay.
Authors: Michael Blauth; Alexander Joeris; Elke Rometsch; Kathrin Espinoza-Rebmann; Pannida Wattanapanom; Rahat Jarayabhand; Martijn Poeze; Merng K Wong; Ernest B K Kwek; Johannes H Hegeman; Carlos Perez-Uribarri; Enrique Guerado; Thomas J Revak; Sebastian Zohner; David Joseph; Markus Gosch Journal: BMJ Open Date: 2021-05-10 Impact factor: 2.692
Authors: P H S Kalmet; B B Koc; B Hemmes; R H M Ten Broeke; G Dekkers; P Hustinx; M G Schotanus; P Tilman; H M J Janzing; J M A Verkeyn; P R G Brink; M Poeze Journal: Geriatr Orthop Surg Rehabil Date: 2016-05-02
Authors: Pishtiwan H S Kalmet; Stijn G C J de Joode; Audrey A A Fiddelers; Rene H M Ten Broeke; Martijn Poeze; Taco Blokhuis Journal: Geriatr Orthop Surg Rehabil Date: 2019-06-06