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Guideline
. 2012 Jan;67(1):85-98.
doi: 10.1111/j.1365-2044.2011.06957.x.

Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland

Membership of the Working Party; R Griffiths  1 , J Alper  1 , A Beckingsale  1 , D Goldhill  1 , G Heyburn  1 , J Holloway  1 , E Leaper  1 , M Parker  2 , S Ridgway  1 , S White  1 , M Wiese  3 , I Wilson  1
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Free article
Guideline

Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland

Membership of the Working Party et al. Anaesthesia. 2012 Jan.
Free article

Abstract

There should be protocol-driven, fast-track admission of patients with hip fractures through the emergency department. Patients with hip fractures require multidisciplinary care, led by orthogeriatricians. Surgery is the best analgesic for hip fractures. Surgical repair of hip fractures should occur within 48 hours of hospital admission. Surgery and anaesthesia must be undertaken by appropriately experienced surgeons and anaesthetists. There must be high-quality communication between clinicians and allied health professionals. Early mobilisation is a key part of the management of patients with hip fractures. Pre-operative management should include consideration of planning for discharge from hospital. Measures should be taken to prevent secondary falls. 10. Continuous audit and targeted research is required in order to inform and improve the management of patients with hip fracture.

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References

    1. Scottish Intercollegiate Guidelines Network. Management of hip fracture in older people. National clinical guideline 111. 2009. http://www.sign.ac.uk/pdf/sign111.pdf (accessed 30/08/2011).
    1. British Orthopaedic Association and British Geriatrics Society. The care of patients with fragility fracture. 2007. http://www.nhfd.co.uk/ (accessed 30/08/2011).
    1. Royal College of Physicians. National clinical audit of falls and bone health in older people. November, 2007. http://old.rcplondon.ac.uk/clinical-standards/ceeu/Documents/fbhop-execs... (accessed 30/08/2011).
    1. National Confidential Enquiry into Patient Outcome and Death. An age old problem. A review of the care received by elderly patients undergoing surgery. http://www.ncepod.org.uk/2010eese.htm (accessed 30/08/2011).
    1. The National Institute for Health and Clinical Excellence. Clinical Guideline 124. The management of hip fracture in adults. 2011. http://www.nice.org.uk/nicemedia/live/13489/54918/54918.pdf (accessed 30/08/2011).

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