Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hip
Abstract number: 26608
HIP FRACTURE- AUDIT OF TIME OF OPERATION FROM ADMISSION
Atanu BHATTACHARJEE, A HUMPHREY
Darlington Memorial Hospital, Darlington (UNITED KINGDOM)
AimAuditing pre-operative hospital stay for patients with fracture neck of femur in a
district general hospital.MethodsPre-operative hospital stay is prospectively audited
for patients with fracture necks of femur for four weeks during October-November
2009. Dedicated orthopaedic trauma operating list for emergency/ acute operations is
extended by 150 minutes for three days a week beyond scheduled eight half-day
theatre sessions according to recommendations of initial audit. Durations of hospital
stay before operation is prospectively re-audited for four weeks in November-
December 2009 following implementation of recommendations.Results27 patients
with fracture neck of femur were operated during October-November 2009 when
regular eight half-day trauma theatre sessions were in place. 14 patients (52 percent)
were operated within first 24 hours, 4 patients (15 percent) within 48 hours and 9
patients (33 percent) after 48 hours. After extension of theatre time during November
-December 2009, there were 24 patients with similar fractures - 13 patients (54
percent) were operated within 24 hours, 9 patients (37.5 percent) within 48 hours and
2 patients (8.5 percent) after 48 hours.ConclusionOperative treatment within 24
hours of admission for fracture neck of femur is comparable despite extension of
theatre time on dedicated trauma lists. This can imply significant co-morbidity of such
patients precluding early surgery. Extending theatre time led to conspicuous increase
in rate of operation within first 48 hours, significantly reducing operation rate 48 hours
after admission. Extending theatre, dedicated ortho-geriatric and anaesthetic team
input can help achieve recomended guidelines.
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