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Author: Australia & New Zealand Hip Fracture Registry

Subscribed: 4Played: 33


The Australian and New Zealand Hip Fracture Registry podcast to improve hip fracture care.
33 Episodes
On this episode, Geriatrician Dr Min Yee Seow from Waitemata District Health Board provides an insight into hip fracture care at North Shore Hospital.  Waitemata’s North Shore Hospital was the ANZHFR 2021 New Zealand Golden Hip Award winner, so tune in to hear their secrets to success as a top performing hospital in Australia in hip fracture care . 
A recent Hipfest presentation by Dr Sharon Carey on pre-operative fasting in the person with a hip fracture. Dr Carey is the Head of Nutrition and Dietetic & Director of Allied Health Research and Education, Institute of Academic Surgery at Royal Prince Alfred Hospital.Thank you to Dr Jack Bell for his introduction of Dr Carey for the episode and for leading the Q&A session following the talk.
A recent Hipfest panel discussion around the early mobility of patients following hip fracture surgery. Physiotherapist Brett Baxter leads the multidisciplinary discussion with anaesthetics, surgery, physiotherapy and nursing representatives discussing the barriers to achieving early mobilisation post-operatively for patients with hip fracture.The video can be watched here
Dr Seth Tarrant, an orthopaedic surgeon for the John Hunter Trauma Service, provides an overview of the evidence for the use of tranexamic acid acid in hip fracture surgery. This is followed by a Q&A with orthopaedic surgeon Dr Catherine McDougall.Watch the video version here. Highlighted studies:1. Palija, S., Bijeljac, S., Manojlovic, S., Jovicic, Z., Jovanovic, M., Cvijic, P., & Dragicevic-Cvjetkovic, D. (2021). Effectiveness of different doses and routes of administration of tranexamic acid for total hip replacement. International orthopaedics, 45(4), 865-870.2. Gayet-Ageron, A., Prieto-Merino, D., Ker, K., Shakur, H., Ageron, F. X., Roberts, I., ... & Pepple, T. (2018). Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients. The Lancet, 391(10116), 125-132.3. Zufferey, P. J., Miquet, M., Quenet, S., Martin, P., Adam, P., Albaladejo, P., ... & investigators of the tranexamic acid in hip-fracture surgery (THIF) study. (2010). Tranexamic acid in hip fracture surgery: a randomized controlled trial. British Journal of Anaesthesia, 104(1), 23-30.4. Tengberg, P. T., Foss, N. B., Palm, H., Kallemose, T., & Troelsen, A. (2016). Tranexamic acid reduces blood loss in patients with extracapsular fractures of the hip: results of a randomised controlled trial. The bone & joint journal, 98(6), 747-753.5. Zhou, X. D., Zhang, Y., Jiang, L. F., Zhang, J. J., Zhou, D., Wu, L. D., ... & Xu, N. W. (2019). Efficacy and Safety of Tranexamic Acid in Intertrochanteric Fractures: A Single‐Blind Randomized Controlled Trial. Orthopaedic surgery, 11(4), 635-642.6. Haj-Younes, B., Sivakumar, B. S., Wang, M., An, V. V., Lorentzos, P., & Adie, S. (2019). Tranexamic acid in hip fracture surgery: a systematic review and meta-analysis. Journal of Orthopaedic Surgery, 28(1), 2309499019887995.7. Nikolaou, V. S., Masouros, P., Floros, T., Chronopoulos, E., Skertsou, M., & Babis, G. C. (2021). Single dose of tranexamic acid effectively reduces blood loss and transfusion rates in elderly patients undergoing surgery for hip fracture: a randomized controlled trial. The Bone & Joint Journal, 103(3), 442-448.8. Ma, H., Wang, H., Long, X., Xu, Z., Chen, X., Li, M., ... & Liu, X. (2021). Early intravenous tranexamic acid intervention reduces post-traumatic hidden blood loss in elderly patients with intertrochanteric fracture: a randomized controlled trial. Journal of Orthopaedic Surgery and Research, 16(1), 1-7.9. You, D., Skeith, L., Korley, R., Cantle, P., Lee, A., McBeth, P., ... & Schneider, P. (2021). Identification of hypercoagulability with thrombelastography in patients with hip fracture receiving thromboprophylaxis. Canadian Journal of Surgery, 64(3), E324.Dr Seth Tarrant can be contacted via
Professor David Scott Anaesthetist and Director of the Department of Anaesthesia and Acute Pain Medicine at St Vincent’s Hospital Melbourne discusses his research in anaesthesia and delirium from the BALANCED Delirium study recently published in the British Journal of Anaesthesia.The study publication can be found here:
Dr Catherine McDougall, Orthopaedic Surgeon and Clinical Director of Surgery at STARS in Metro North Brisbane and  Co-Lead of the Getting It Right The First Time (GIRFT) program shares the achievements  of the program in hip fracture care in Queensland.Click the link for more information: UK:
A/Prof Mellick Chehade, an Orthopaedic Trauma Consultant from Adelaide, discusses his work developing digital healthcare  for patients with hip fractures.Click here for more information: you wish to find out more, please find A/Prof Chehade's contact details here: for Research Excellence in Frailty and Healthy Ageing:
Stephanie Thornton, Nurse Management Consultant, Central Australia Health Service, discusses the unique physical and cultural challenges of hip fracture care in a remote setting. Hear Stephanie discuss issues of transporting patients long distances, engaging with patients in a culturally appropriate manner and the necessity to think outside the box with regard to equipment provision!
This week join the ANZHFR team for the inaugural ANZHFR New Zealand Golden Hip 2021 award. The Golden Hip was initiated by the Scottish Hip Fracture Audit to promote and reward better health care for people with hip fractures. For the first time in New Zealand, four finalist hospitals will be recognised for their achievements against the Hip Fracture Care Clinical Care Standard quality indicators. The top performing hospital will be awarded the  New Zealand Golden Hip 2021 award.See the video version of this ceremony:
This week join the ANZHFR team for the inaugural ANZHFR Australian Golden Hip 2021 award. The Golden Hip was initiated by the Scottish Hip Fracture Audit to promote and reward better health care for people with hip fractures. For the first time in Australia, ten finalist hospitals will be recognised for their achievements against the Hip Fracture Care Clinical Care Standard quality indicators. The top performing hospital will be awarded the 2021 Australian Golden Hip award.See the video version of this ceremony:
Join ANZHFR co-chairs Prof Jacqui Close & Prof Ian Harris and Australian Registry Manager Jamie Hallen to discuss the recently published ANZHFR  Annual Report 2021.
Orthopaedic surgeons Dr Catherine McDougall & Dr Lorenzo Calabro discuss the options for the surgical management of intertrochanteric fractures.A video version of this talk is available at:
Adjunct Associate Professor Paul Mitchell, Chair of the Communications Committee of the Fragility Fracture Network provides an introduction to the network and their global call to action.Here are some useful links for podcast listeners:FFN Global Congress, 28-30 September - Call to Action on Fragility Fractures and FFN Clinical and Policy Toolkits - Pacific Fragility Fracture Alliance-FFN Hip Fracture Registry Toolbox -
Anaesthetist Dr Richard Halliwell discusses the considerations for analgesia in the older hip fracture patient. Richard presents the research evidence, together with the risks and benefits for different anaesthetic and pain relief approaches. This is followed by a Q&A with ANZHFR Co-chair Prof Jacqui Close.NSW Agency for Clinical Innovation Fascia Iliaca Block guide found here: Review of the Effects of Fascia Iliaca Compartment Block on Hip Fracture Patients Before Operation (2018): Review (2018) on EEG and delirium mentioned:
Geriatrician, Dr Chrys Pulle, presents his hospital’s experience in improving performance on Clinical Indicator 6 – “Minimising the risk of another fracture”. Chrys discusses how identification of at-risk patients, investigation of risk factors and individualised treatment plans for falls prevention and treatment of osteoporosis are a cost effective approach to significantly reduce the risk of further fractures, pain, suffering and hospitalisation
Professor Jacqueline Close discusses the effects of delirium on patient outcomes and highlights recent research in this area. Jacqui provides information regarding strategies for preventing delirium such as pain management, nutrition and hydration, time to surgery, bladder and bowel management and involvement of carers. This is followed by a short Q&A session with Dr Hannah Seymour. Please find the meta-analysis mentioned here: find the HIP ATTACK study mentioned here: find the music therapy & sleep quality study mentioned here: find the study on intranasal administration of insulin and delirium mentioned here:
Prof Ian Harris leads a panel discussion on the subject of anticoagulants and hip fracture. Hear the perspectives of orthopaedic surgeon Dr Chris Jones, anaesthetist Dr Sean McManus, geriatrician Dr Hannah Seymour and haematologist Dr Stephanie Ping as they discuss several case studies which highlight some of the considerations around this issue.Please find the mentioned Association of Anaesthetists (2020) resource here:
Join Prof Ian Harris, co-chair of ANZHFR for a Q & A with Dr Jack Bell, Dietitian from The Prince Charles Hospital, Queensland and ANZHFR Steering Committee member. Dr Jack Bell discusses the importance of malnutrition and SIMPLE nutrition care for hip fractures.
Successful multidisciplinary care can be a challenge. Join our expert panel to hear about the triumphs and barriers to achieving cohesive teamwork for throughout the hospital journey for hip fracture patients. Our guest panel:Subacute Team Representations from Orange General Hospital NSW:- Kate Polain - Rehabilitation Clinical Nurse Consultant - Josie Lowe - Dietitian- Jo Upson - PhysiotherapistBrett Baxter - Physiotherapist, Princess Alexandra Hospital QLD Dr Sarah Hurring - Geriatrician, Burwood Hospital NZ
Prof Gustavo Duque, a Melbourne-based Geriatrician discusses a pilot study by his research team on the implementation of an electronic care pathway for hip fracture patients and the benefits of this on the patient hospital journey.For more information, please take a look at the published paper:, J., Guerrero-Cedeño, V., Demontiero, O. et al. Implementation of an electronic care pathway for hip fracture patients: a pilot before and after study.BMC Musculoskelet Disord 21, 837 (2020).
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