A Stab in the Dark? Point-of-Care Testing in the Population With Hip Fracture
- PMID: 26328229
- PMCID: PMC4536502
- DOI: 10.1177/2151458515583087
A Stab in the Dark? Point-of-Care Testing in the Population With Hip Fracture
Abstract
Hip fracture incidence rises globally in an aging population who live in an era of financial austerity. Health service providers are under pressure both to optimize care and to increase efficiencies in the management of this vulnerable patient group. One area of inefficiency in perioperative processes is the assessment of deranged clotting profiles secondary to warfarinization and in the monitoring of hemoglobin. Delays are inherent in these processes, threatening patient care and impacting on financial incentivisation of performance. Point-of-care testing, while widespread in other areas of health care, is underutilized in hip fracture management. This work explores the application to hip fracture care of this technology and suggests future direction to investigate its potential benefits.
Keywords: fracture; hemoglobin; hip; point of care; warfarin.
Conflict of interest statement
Similar articles
-
The SCHHS hip fracture clinical network experience-Improving care and outcomes through an interprofessional approach.Int J Orthop Trauma Nurs. 2017 Aug;26:24-29. doi: 10.1016/j.ijotn.2016.12.001. Epub 2016 Dec 18. Int J Orthop Trauma Nurs. 2017. PMID: 28089404
-
Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data.PLoS Med. 2018 Jun 26;15(6):e1002592. doi: 10.1371/journal.pmed.1002592. eCollection 2018 Jun. PLoS Med. 2018. PMID: 29944655 Free PMC article.
-
The effect of a multidisciplinary co-management program for the older hip fracture patients in Beijing: a "pre- and post-" retrospective study.Arch Osteoporos. 2019 Mar 22;14(1):43. doi: 10.1007/s11657-019-0594-1. Arch Osteoporos. 2019. PMID: 30903390
-
Optimizing perioperative care for patients with hip fracture.Anesthesiol Clin. 2014 Dec;32(4):823-39. doi: 10.1016/j.anclin.2014.08.010. Epub 2014 Nov 25. Anesthesiol Clin. 2014. PMID: 25453664 Review.
-
Management of hip fracture: the family physician's role.Am Fam Physician. 2006 Jun 15;73(12):2195-200. Am Fam Physician. 2006. PMID: 16836036 Review.
References
-
- Management of hip fractures in adults [Internet]. United Kingdom: National Institute for Clinical Excellence; 2012. [updated November 26th 2012;]. Web site http://www.nice.org.uk/guidance/cmg46. Accessed August 18, 2014.
-
- Connock M, Stevens C, Fry-Smith A, et al. Clinical effectiveness and cost-effectiveness of different models of managing long-term oral anticoagulation therapy: A systematic review and economic modelling. Health Technol Assess. 2007;11(38):iii, iv, ix–66. - PubMed
-
- Dharmarajan TS, Norkus EP. Mild anemia and the risk of falls in older adults from nursing homes and the community. J Am Med Dir Assoc. 2004;5(6):395–400. - PubMed
-
- Bhaskar D, Parker MJ. Haematological indices as surrogate markers of factors affecting mortality after hip fracture. Injury. 2011;42(2):178–182. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources