Perioperative Management of Hip Fracture Patients - Are We Following The AAGBI Guidelines? - A Retrospective Observational Study

Abstract

Objective 

Several guidelines are available for management of hip fracture patients. Western nations conduct annual audits to regulate their practises. There is lack of studies done at institutional or national level in our country. So this study was done to evaluate the adherence to the recommendations at our centre.

Methods

Records of patients operated for proximal hip fracture from January 2020 to January 2021 were examined to extract the details of perioperative care, postoperative complications and 30 day outcomes. The compliance with the recommendations was assessed. Twelve key performance indicators were identified. Score of 1 was assigned for adhering to each indicator and total score for each patient was calculated.

Results

One hundred and twenty eight patents were included in the final analysis. Seventy one percent of the patients were operated in <48 hours of admission. Less than 40% of the patients received a nerve block for postoperative analgesia. Mortality at 30 days was 7.03%.

Conclusion

Several areas of perioperative care showed good compliance with the recommendations though some areas with major deficits were identified. The high mortality associated with hip fracture patients was also seen in our study.