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
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
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