Prehospital fast track care for patients with hip fracture: Impact on time to surgery, hospital stay, post-operative complications and mortality a randomised, controlled trial

Injury
Glenn LarssonAnna Nilsdotter

Abstract

Ambulance organisations in Sweden have introduced prehospital fast track care (PFTC) for patients with suspected hip fracture. This means that the ambulance nurse starts the pre-operative procedure otherwise implemented at the accident & emergency ward (A&E) and transports the patient directly to the radiology department instead of A&E. If the diagnosis is confirmed, the patient is transported directly to the orthopaedic ward. No previous randomised, controlled studies have analysed PFTC to describe its possible advantages. The aim of this study is to examine whether PFTC has any impact on outcomes such as time to surgery, length of stay, post-operative complications and mortality. The design of this study is a prehospital randomised, controlled study, powered to include 400 patients. The patients were randomised into PFTC or the traditional care pathway (A&E group). Time from arrival to start for X-ray was faster for PFTC (mean, 28 vs. 145min; p<0.001), but the groups did not differ with regard to time from start of X-ray to start of surgery (mean 18.40h in both groups). No significant differences between the groups were observed with regard to: time from arrival to start of surgery (p=0.07); proportion operated within 24h (79...Continue Reading

References

Mar 1, 1996·Journal of Accident & Emergency Medicine·J RyanS Edwards
Feb 13, 2003·Scandinavian Journal of Caring Sciences·Ami HommelKarl-Göran Thorngren
Mar 24, 2006·BMJ : British Medical Journal·Alex Bottle, Paul Aylin
Feb 21, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Victor NovackAvi Porath
Sep 7, 2007·ANZ Journal of Surgery·Hamish C RaeTeodora Todorova
Dec 5, 2008·Journal of the American Geriatrics Society·Susanne J PedersenUNKNOWN Hip Fracture Group of Bispebjerg Hospital
Dec 31, 2008·BMC Musculoskeletal Disorders·Rüdiger SmektalaLudger Pientka
Mar 20, 2010·Acta Anaesthesiologica Scandinavica·K B BjörkelundD Lundberg
Feb 22, 2011·Injury·Glenn Larsson, Kajsa-Mia Holgers
Jul 12, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ingela WennmanPer-Olof Hansson
Sep 27, 2012·Injury·Chika Edward UzoigweRory George Middleton
Oct 23, 2012·International Emergency Nursing·Rebecca Taylor, Stuart Nairn
Jan 31, 2014·Journal of Clinical Nursing·Kenneth AronssonBirgitta Wireklint Sundström

❮ Previous
Next ❯

Citations

Jan 14, 2020·Acta Orthopaedica·Stian SvenøyFrede Frihagen
May 28, 2019·BMC Musculoskeletal Disorders·Christian Thomas PollmannAsbjørn Årøen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.