Quality statement 4 Timing of surgery A patient presenting to hospital with a hip fracture, or sustaining a hip fracture while in hospital, receives surgery within 48 hours, if no clinical contraindication exists and the patient prefers surgery. Purpose account the medical conditions and patient’s prior level of function. If clinically indicated and To ensure patients with hip fractures undergo in accordance with patient preferences, perform surgery, if clinically indicated, in a timely manner. surgery within 48 hours of the patient presenting While surgery for patients who sustain a hip fracture to hospital. If a patient sustains a fracture in in some remote areas may not be feasible within hospital, perform surgery within 48 hours of the 48 hours of presentation, networks and systems fracture occurring. For everyone undergoing hip should be in place to ensure patients receive fracture surgery, prescribe surgical antibiotic coordinated transfer and timely surgery. prophylaxis and thromboprophylaxis according to current guidelines.12,13 What the quality statement means For patients. If you go to hospital with a For health services. Ensure systems are in hip fracture or sustain a hip fracture while in place for clinicians to perform hip fracture hospital, you have surgery within 48 hours. The exceptions are if you do not want to surgery within 48 hours of presentation. Surgery within 48 hours of presentation may not have surgery, or if your doctor advises you that it is better for you to wait or not have be feasible for health services covering some remote areas, however, networks and systems surgery at all. If you are in a remote location, should be in place to ensure coordinated you are transferred and receive surgery in transfer and timely surgery of patients who a timely manner. sustain a hip fracture in these areas. For clinicians. Discuss treatment options with all patients. Explain the goals, benefits, risks and limitations of treatment options, taking into Indicator: Quality statement 4 4a: Proportion of patients with a hip fracture receiving surgery within 48 hours of presentation with the hip fracture.
Quality statement 4 Timing of surgery A patient presenting to hospital with a hip fracture, or sustaining a hip fracture while in hospital, receives surgery within 48 hours, if no clinical contraindication exists and the patient prefers surgery. Purpose To ensure patients with hip fractures undergo surgery, if clinically indicated, in a timely manner. While surgery for patients who sustain a hip fracture in some remote areas may not be feasible within 48 hours of presentation, networks and systems should be in place to ensure patients receive coordinated transfer and timely surgery. What the quality statement means For patients. If you go to hospital with a hip fracture or sustain a hip fracture while in hospital, you have surgery within 48 hours. The exceptions are if you do not want to have surgery, or if your doctor advises you that it is better for you to wait or not have surgery at all. If you are in a remote location, you are transferred and receive surgery in a timely manner. For clinicians. Discuss treatment options with all patients. Explain the goals, benefits, risks and limitations of treatment options, taking into account the patient’s medical conditions and prior level of function. If clinically indicated and in accordance with patient preferences, perform surgery within 48 hours of the patient presenting to hospital. If a patient sustains a fracture in hospital, perform surgery within 48 hours of the fracture occurring. For everyone undergoing hip fracture surgery, prescribe surgical antibiotic prophylaxis and thromboprophylaxis according to current guidelines.12,13 For health services. Ensure systems are in place for clinicians to perform hip fracture surgery within 48 hours of presentation. Surgery within 48 hours of presentation may not be feasible for health services covering some remote areas, however, networks and systems should be in place to ensure coordinated transfer and timely surgery of patients who sustain a hip fracture in these areas. Indicator: Quality statement 4 4a: Proportion of patients with a hip fracture receiving surgery within 48 hours of presentation with the hip fracture.