Local Anaesthetic Infiltration and Indwelling Postoperative Wound Catheters for Patients with Hip Fracture Reduce Death Rates and Length of Stay
Joint Authors
Harrison, William D.
Lees, Deborah
A’Court, Jamie
Ankers, Thomas
Harper, Ian
Inman, Dominic
Reed, Mike R.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
An analgesic enhanced recovery (ER) protocol for patients with a hip fracture was introduced.
It was hypothesised that the ER would reduce pain, length of stay and improve clinical outcomes.
The protocol used intraoperative infiltration of levobupivacaine followed by ongoing wound infusions.
Methods.
Consecutive patients admitted to two hospitals were eligible for the ER protocol.
Numerical Reporting Scale pain scores (0–10) were recorded alongside opiate requirements.
434 patients in the ER group (316 full ER, 90 partial ER, and 28 no ER) were compared to a control group (CG) of 100 consecutive patients managed with traditional opiate analgesia.
Results.
Mean opiate requirement was 49.2 mg (CG) versus 32.5 mg (ER).
Pain scores were significantly reduced in the full ER group, p < 0.0001 .
Direct discharge home and mean acute inpatient stay were significantly reduced ( p = 0.0031 and p < 0.0001 , resp.).
30-day mortality was 15% (CG) versus 5.5% (ER), p = 0.0024 .
Conclusions.
This analgesic ER protocol for patients with a hip fracture was safe and effective and was associated with reduced inpatient stay and mortality.
American Psychological Association (APA)
Harrison, William D.& Lees, Deborah& A’Court, Jamie& Ankers, Thomas& Harper, Ian& Inman, Dominic…[et al.]. 2015. Local Anaesthetic Infiltration and Indwelling Postoperative Wound Catheters for Patients with Hip Fracture Reduce Death Rates and Length of Stay. Surgery Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076580
Modern Language Association (MLA)
Harrison, William D.…[et al.]. Local Anaesthetic Infiltration and Indwelling Postoperative Wound Catheters for Patients with Hip Fracture Reduce Death Rates and Length of Stay. Surgery Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1076580
American Medical Association (AMA)
Harrison, William D.& Lees, Deborah& A’Court, Jamie& Ankers, Thomas& Harper, Ian& Inman, Dominic…[et al.]. Local Anaesthetic Infiltration and Indwelling Postoperative Wound Catheters for Patients with Hip Fracture Reduce Death Rates and Length of Stay. Surgery Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076580
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076580