Key result
Implementation of an acute hip call increased the rate of surgery within 24 hours from 51% to 88% and reduced the mean time from admission to surgery by 10 hours and 33 minutes (P<.001).
Why the study?
Surgical treatment of hip fractures within 24-48 hours decreases morbidity and mortality, but goals for early surgery have not been widely achieved.
Does an acute 'hip call' reduce time to surgery in patients with suspected hip fractures?
Cohort (n=227)
No
Does an acute 'hip call' reduce time to surgery in patients with suspected hip fractures?
Effect estimate: MD 10:33 (hh:mm) (95% CI 07:46-13:20)
p-value: p=<.001
Implementation of a 'hip call' protocol is feasible and significantly reduces time to surgery for patients with hip fractures.
No takes yet. Share an insight, caveat, or question.
May support hip call protocols to expedite hip fracture surgery; leaves open outcome benefits pending randomized trials.
Jensen et al. (2020) conducted a cohort in Suspected hip fracture (n=227). Acute hip call vs. Historical control cohort (standard care) was evaluated on Time from admission to surgery (MD 10:33 (hh:mm), 95% CI 07:46-13:20, p=<.001). Implementation of an acute hip call increased the rate of surgery within 24 hours from 51% to 88% and reduced the mean time from admission to surgery by 10 hours and 33 minutes (P<.001).
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