The Blue Book published by the British Orthopaedic Association and British Geriatrics Society, together with the introduction of National Hip Fracture Database Audit and Best Practice Tariff, have been influential in improving hip fracture care. We examined ten-year (2009-2019) changes in hip fracture outcomes after establishing an orthogeriatric service based on these initiatives, in 1081 men and 2891 women (mean age = 83.5 ± 9.
View Article and Find Full Text PDFJ Perioper Pract
December 2017
Neck of femur (NOF) fractures in elderly patients are the most frequent condition which an orthopaedic surgeon confronts nowadays. The incidence of these fractures is increasing as the population continues to age. These patients absorb the majority of the resources in the hospitals, as their healthcare demands are increased.
View Article and Find Full Text PDFHip fracture (neck of femur fracture (NOF)) patients spend a significant amount of time in hospitals, recuperating after the acute event and undergoing rehabilitation. This model of care increases the risk of institutionalisation and may lead to hospital-related harm. An orthopaedic supportive discharge team was set up using a £90,000 grant from the Ashford and St Peter's NHS Foundation Trust's Innovation Fund and care was improved using plan-do-study-act cycles.
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