DOS 2017

· DOS Abstracts

Fast track for patients with hip fractures

Rikke Beckermann

Clinic for Neuro- and Orthopedic Diseases, Aalborg University Hospital

Background:

For several years, it has been a challenge to reach the national

standard of 90% postoperative survival for patients operated for hip fractures

at Aalborg University Hospital. Waiting time for surgery has been shown to be

one of the most important factors to reduce mortality.

Purpose / Aim of Study:

Reducing waiting time for operation, so that 75% of

all patients are operated within 24 hours and 90% within 36 hours.

Materials and Methods:

The project was designed as an interdisciplinary co-

operation. The group met for two seminars and six meetings to secure progress

by discussing and adjusting the changing in work flows that was being tested.

How we made a ”Fast Track for patients with hip fractures” • On arrival at the

Emergency Room, a nurse orders blood samples, local anesthesia and x-ray right

away. • The Orthopedic surgeon makes a “click- journal” as soon as possible. •

The patient is transported to a Recovery Ward where an anesthesiologist en-

sures preoperatively optimization of the patient. • After being optimized, the

patient is taken to the Operation Theatre as soon as possible. • Expansion of

operation capacity by five hours in the evening two days a week.

Findings / Results:

The goal is fully achieved. 100% of all patients are operated

on within 36hours. The median waiting time for operation has changed from

27,6 hours in early 2016 to 12.3 hours from September to December 2016.

Conclusions:

We succeded in reducing the waiting time for operation. As a part

two of the project, our focus is now to improve the post-operative recovery

from operation to discharge with our main focus on early mobilization and orto-

geriatric cooperation. As a part tree we’ll address the last part of the process

- “Optimization of transition to municipalities for patients with hip fractures -

after discharge from hospital to home” .

No conflicts of interest reported

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