Key result
A nationally agreed protocol is required for the management of inpatient fractured neck of femur to ensure prompt diagnosis, early operative intervention within 36 hours, and reduced mortality.
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There is a critical need for a nationally agreed protocol for managing inpatient fractured neck of femur to prevent delays in care and reduce mortality.
Falls within a hospital environment are a major cause of morbidity and may even lead to mortality. Pathways for patients suffering a Fractured Neck of Femur (FNOF) in the community are well established following the development of the Blue Book, BOAST guidelines and National Hip Fracture Database (NHFD). However, there is no such agreed pathway for patients suffering FNOF within a hospital environment. Such patients have been demonstrated to have a higher risk of delays in medical optimisation, delays in operative management, and mortality. There is, therefore, a need to create a nationally agreed guideline for the care of the "inpatient FNOF" as this is an important subgroup of patients. This article highlights this issue as well as advising medical staff on how to identify a potential FNOF within a hospital environment in order to ensure prompt management of a vulnerable group of patients.
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Green et al. (2018) conducted a letter in Inpatient Fracture Neck of Femur (FNOF). Nationally agreed protocol for inpatient FNOF was evaluated. A nationally agreed protocol is required for the management of inpatient fractured neck of femur to ensure prompt diagnosis, early operative intervention within 36 hours, and reduced mortality.
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