8 Dec 2022
Lots of food for thought today at the Scottish hip fracture conference , the data shows that hip fractures are only going to increase , we need to be ready #orthogeris #SCOTHIP22 #SHFA
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8 Dec 2022
π§ 𦴠@andrewhallortho presenting joint work with @rosespenfold on #delirium & #hipfracture.
π ve 4AT scores linked with much worse outcomes including mortality & length of hospital stay.
β‘οΈ Can we intervene to improve outcomes?
#SCOTHIP22
the4AT.com
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8 Dec 2022
@celiagregson on the rationale for inpatient iv zoledronic acid given soon after hip # repair at the Scottish Hip Fracture Audit national meeting.
More details: academic.oup.com/ageing/artiβ¦
#SCOTHIP22
#osteoporosis #hipfracture #zoledronate
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8 Dec 2022
Great to see @andrewhallortho presenting results from his fantastic series of IMPACT studies...including our IMPACT Delirium findings (unpublished) #scothip22 @A_MacLullich
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8 Dec 2022
#scothip22 And the golden hip fracture winner 2022 is................... @megangracie15 !!!
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8 Dec 2022
Why we try and prevent delirium in hip# patients by using Scottish standards for hip fracture care β¦@andrewhallorthoβ© presents Rose Penfoldβs research #scothip22
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8 Dec 2022
Hip # numbers increasing and will continue to do so due to an aging population. 50% of people with hip # have previously had a fragility #. Surely a need for Fracture Liaison Services #fls to be properly funded to reduce risk of hip # #scothip22
8 Dec 2022
#scothip22
Hip fractures in Scotland will increase substantially soon - likely a similar picture in many other countries.
We need to mitigate this through falls prevention, better bone health care, & other interventions.
We also need to plan services accordingly.
@EuanJHarris
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8 Dec 2022
Excellent presentation from @celiagregson sharing her experience from Bath on giving IV Zoledronate routinely post hip fracture. Looking forward to Scotland following this example #scothip22
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Clear message re. future of #fracture liaison services
by #AlisonBlack Rheumatologist @NHSGrampian
#scothip22
ππ
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8 Dec 2022
#scothip22 National consensus statements and guidance are another function of the SHFA. Whilst not a standard therefore not measured in the audit, these provide an important tool to reduce unwarranted variation. #hipfracture #painmanagement @A_MacLullich
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8 Dec 2022
βΌοΈ Important systematic review presented by Mr Bin Chen:
π₯€ Oral nutritional supplements appear to improve multiple outcomes in hip fracture patients.
#scothip22
@FF_Network @kirstymward @KarenAdam13
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8 Dec 2022
Nick Clement presenting data showing that hip fracture patients waiting >4 hrs for ward transfer from the ED have worse long-term mortality outcomes.
Causes remain unclear - more investigation needed.
? related to overall time to theatre
? other factors
#scothip22
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8 Dec 2022
#scothip22 mortality rate increases with failure to achieve 4 hour target of admission from ED to ward. nick Clements presents
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8 Dec 2022
Why we do what we do. β¦@docfarrowβ© demonstrates that Scottish hip fracture audit is value for money #scothip22 #improvingpatientjourney
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8 Dec 2022
#scothip22 Such important work coordinated by Fiona Burton @RCEMLearning at a pertinent time, given the pressure seen across all 5 nations in Emergency care. @RCEMdean @HipFracture @FF_Network @RCP_FFFAP
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8 Dec 2022
𦴠For every £1 spent on the Scottish Hip Fracture Audit, £12-13 is saved, using the metric of bed days alone.
Probably a conservative estimate.
βΆοΈ All healthcare systems should consider creating robust standards & audit for hip fracture care.
@FF_Network
#scothip22
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8 Dec 2022
#scothip22 WOW! talk about value, thanks @docfarrow confirming that economic analysis has revealed in excess of a tenfold return in terms of reduced bed day for every Β£ spent on the administration of the audit @KarenAdam13 @A_MacLullich
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8 Dec 2022
#SCOTHIP22
Adherence to the Scottish Hip Fracture Standards not only improves the quality of care but it saves money.
Healthcare systems using the mechanism of audit to standards = highly cost effective overall.
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8 Dec 2022
#scothip22
Importantly, prior research shows that greater adherence to the Scottish Hip Fracture Standards is associated with better outcomes, including reduced mortality.
@docfarrow
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