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Anaesthesia for proximal femoral fracture in the UK: first report from the NHS Hip Fracture Anaesthesia Network.
- Source :
-
Anaesthesia . Mar2010, Vol. 65 Issue 3, p243-248. 6p. 2 Charts, 3 Graphs. - Publication Year :
- 2010
-
Abstract
- The aim of this audit was to investigate process, personnel and anaesthetic factors in relation to mortality among patients with proximal femoral fractures. A questionnaire was used to record standardised data about 1195 patients with proximal femoral fracture admitted to 22 hospitals contributing to the Hip Fracture Anaesthesia Network over a 2-month winter period. Patients were demographically similar between hospitals (mean age 81 years, 73% female, median ASA grade 3). However, there was wide variation in time from admission to operation (24–108 h) and 30-day postoperative mortality (2–25%). Fifty percent of hospitals had a mean admission to operation time < 48 h. Forty-two percent of operations were delayed: 51% for organisational; 44% for medical; and 4% for ‘anaesthetic’ reasons. Regional anaesthesia was administered to 49% of patients (by hospital, range = 0–82%), 51% received general anaesthesia and 19% of patients received peripheral nerve blockade. Consultants administered 61% of anaesthetics (17–100%). Wide national variations in current management of patients sustaining proximal femoral fracture reflect a lack of research evidence on which to base best practice guidance. Collaborative audits such as this provide a robust method of collecting such evidence. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANESTHESIA
*BONE fractures
*BONE injuries
*FEMUR injuries
*NERVE block
Subjects
Details
- Language :
- English
- ISSN :
- 00032409
- Volume :
- 65
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Anaesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 47922702
- Full Text :
- https://doi.org/10.1111/j.1365-2044.2009.06208.x