By Scottish Intercollegiate Guidelines Network
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Additional resources for Management of Hip Fractures in Older People Guidelines
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J Bone Joint Surg Am 2005;87(3):483-9. 48. Bredahl C, Nyholm B, Hindsholm KB, Mortensen JS, AS. O. Mortality after hip fracture: results of operation within 12 h of admission. Injury 1992;23(2):83-6. 49. Hamlet W, Lieberman J, Freedman E, Dorey F, Fletcher A, Johnson E. Influence of health status and the timing of surgery on mortality in hip fracture patients. Am J Orthop 1997;26(9):621-7. 50. Holt E, Evans R, Hindley C, Metcalfe J. 1000 femoral neck fractures: the effect of pre-injury mobility and surgical experience on outcome.
There would be further savings post-discharge but these have not been quantified or costed. Implementation of other recommendations, in particular those relating to multidisciplinary team working and supported discharge schemes, should reduce acute hospital stay as well as leading to other patient and clinical benefits. These benefits have not been quantified or costed. For a full description of the assumed parameters and sensitivity analyses, see the clinical and resource impact report. 1 Recommendation Section A Heparin (UFH or LMWH) or fondaparinux may be used for pharmacological thromboprophylaxis in hip fracture surgery.
Ricci WM, Rocca GJD, Combs C, Borrelli J. The medical and economic impact of preoperative cardiac testing in elderly patients with hip fractures. Injury 2007;38(3):49-52. 43. Grimes JP, Gregory PM, Noveck H, Butler MS, Carson JL. The effects of time-to-surgery on mortality and morbidity in patients following hip fracture. Am J Med 2002;112(9):702-9. 44. Siegmeth AW, Gurusamy K, Parker MJ. Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur. J Bone Joint Surg Br 2005;87(8):1123-6.