Key result
Introduction of a simple and effective protocol reduced pre-operative cross-matching for femoral neck fractures from 71% to 16.7% at 2 years.
Why the study?
Does a simple protocol reduce pre-operative cross-matching in patients with femoral neck fractures?
Observational
Does a simple protocol reduce pre-operative cross-matching in patients with femoral neck fractures?
Absolute Event Rate: 16.7% vs 71%
Implementation of a simple cross-match protocol significantly reduced unnecessary pre-operative cross-matching for femoral neck fractures.
Supports protocol use to cut unnecessary testing in hip fracture care; leaves open need for outcome data and prospective validation.
BACKGROUND: Cross-match practice for patients with femoral neck fractures continues to cause concern due to a failure of compliance to the existing protocols. To address this issue, a number of studies were conducted over a 3-year period. METHODS: First, the existing cross-match practice for patients admitted with femoral neck fractures was reviewed to demonstrate the deficiencies within the system. Second, the opinion of anaesthetic and orthopaedic trainees was assessed regarding blood requirements for different femoral neck fractures following surgery and the justification of their perceptions. RESULTS: A summation of the studies is reported which demonstrates the reasons for the poor compliance to previous protocols. CONCLUSIONS: A simple and effective protocol is provided that has helped reduce pre-operative cross-matching of femoral neck fractures from 71% to 16.7% when assessed 2 years after its introduction.
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Khan et al. (2004) conducted an observational in Femoral neck fractures. New cross-match protocol vs. Previous protocols was evaluated on Pre-operative cross-matching rate. Introduction of a simple and effective protocol reduced pre-operative cross-matching for femoral neck fractures from 71% to 16.7% at 2 years.
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