A before and after study assessing the efficacy of a standardised hip fracture pathway in a tertiary trauma hospital

Research Opportunity
Honours students
Number of Honour Places Available
1
Department / Centre
Medicine and Radiology
Location
Royal Melbourne Hospital
Primary Supervisor Email Number Webpage
Prof Kwang Lim kwang.lim@mh.org.au
Co-supervisor Email Number Webpage
Dr Juliana Kok juliana.kok@mh.org.au

Summary Royal Melbourne Hospital implemented a hospital-wide, multidisciplinary, hip fracture pathway. Standardised pathways have been shown to have a positive impact on the management of hip fracture patients including improved pre-operative management (particularly analgesia), reduced emergency room and hospital length of stay and lower in-hospital complications although they do not appear to affect in-hospital mortality. This study will evaluate the outcomes of this pathway compared to historical controls.

Project Details

Low energy hip fractures occur in 199/100 000 people per year in Australia .  Three months following hip fracture surgery, mortality is 13%,and only 24% of people who have returned home will have achieved pre-injury mobility.

The Australian and New Zealand Hip Fracture Guidelines and accompanying Hip Fracture Clinical Care Standardsprovide recommendations and standards for the management of hip fractures in Australia.  Following this, in September 2017, Royal Melbourne Hospital implemented a hospital-wide, multidisciplinary, hip fracture pathway.  Standardised pathways have been shown to have a positive impact on the management of hip fracture patients including improved pre-operative management (particularly analgesia), reduced emergency room and hospital length of stay and lower in-hospital complications although they do not appear to affect in-hospital mortality. This study will evaluate the outcomes of this pathway compared to historical controls.

Royal Melbourne Hospital has a standardised management pathway to ensure that patients receive timely and effective care which commenced in September 2017.  Important parts of the management include access to nerve blocks for pain relief, assessment by specialists for elderly patients, and surgery within 24-48 hours of admission. We aim to perform a study that looks at how patients recover from a hip fracture prior to the implementation of the pathway and compare with the patients’ recovery after the pathway was implemented.   The study will not affect patient care and they will be contacted by phone at 30 days and 120 days after surgery.


School Research Themes

Ageing



Research Opportunities

Honours students
Students who are interested in joining this project will need to consider their elegibility as well as other requirements before contacting the supervisor of this research

Graduate Research application

Honours application

Key Contact

For further information about this research, please contact a supervisor.

Department / Centre

Medicine and Radiology

Research Node

Royal Melbourne Hospital

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