Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland.
R. Griffiths,J Alper,A Beckingsale,D Goldhill,G Heyburn,J. Holloway,E Leaper,Martyn J. Parker,Stephanie Ridgway,Stuart M. White,M Wiese,I Wilson +11 more
TLDR
There should be protocol‐driven, fast‐track admission of patients with hip fractures through the emergency department, according to a report published in JAMA Oncology 2.1.Abstract:
There should be protocol-driven, fast-track admission of patients with hip fractures through the emergency department. Patients with hip fractures require multidisciplinary care, led by orthogeriatricians. Surgery is the best analgesic for hip fractures. Surgical repair of hip fractures should occur within 48 hours of hospital admission. Surgery and anaesthesia must be undertaken by appropriately experienced surgeons and anaesthetists. There must be high-quality communication between clinicians and allied health professionals. Early mobilisation is a key part of the management of patients with hip fractures. Pre-operative management should include consideration of planning for discharge from hospital. Measures should be taken to prevent secondary falls. 10. Continuous audit and targeted research is required in order to inform and improve the management of patients with hip fracture.read more
Citations
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Anesthesia technique, mortality, and length of stay after hip fracture surgery.
Mark D. Neuman,Mark D. Neuman,Paul R. Rosenbaum,Paul R. Rosenbaum,Justin M. Ludwig,José R. Zubizarreta,Jeffrey H. Silber +6 more
TL;DR: Among adults in acute care hospitals in New York State undergoing hip repair, the use of regional anesthesia compared with general anesthesia was not associated with lower 30-day mortality but was associated with a modestly shorter length of stay.
Journal ArticleDOI
Complications of hip fractures: A review.
TL;DR: Early surgical fixation, the role of anti-thromboembolic and anti-infective prophylaxis, good pain control at the perioperative, detection and management of delirium, correct urinary tract management, avoidance of malnutrition, vitamin D supplementation, osteoporosis treatment and advancement of early mobilization are basic recommendations for an optimal maintenance of hip fractured patients.
Journal ArticleDOI
Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland.
F. Beech,Abbe Brown,Jugdeep K. Dhesi,I T H Foo,J. Goodall,W. Harrop‐Griffiths,J. Jameson,N. Love,K. Pappenheim,Stuart M. White +9 more
TL;DR: The AAGBI strongly supports an expanded role for senior geriatricians in coordinating peri‐operative care for the elderly, with input from senior anaesthetists (consultants/associate specialists) and surgeons.
Journal ArticleDOI
Outcome by mode of anaesthesia for hip fracture surgery. An observational audit of 65 535 patients in a national dataset
TL;DR: If the National Hip Fracture Database data are accurate, then either there is no difference in 30‐day mortality between general and spinal anaesthesia after hip fracture surgery per se, and therefore future research should focus on how to make both types of anaesthesia safer, or there is a difference, but mortality is not the correct outcome to measure after anaesthesia.
Journal ArticleDOI
Nottingham Hip Fracture Score: longitudinal and multi-centre assessment
Iain K. Moppett,Martyn J. Parker,R. Griffiths,T. Bowers,Stuart M. White,Christopher G. Moran +5 more
TL;DR: The Nottingham Hip Fracture Score, with an updated equation, is a robust predictor of 30 day mortality after hip fracture repair in geographically distinct UK centres.
References
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National Confidential Enquiry into Patient Outcome and Death
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Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial.
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