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A Stab in the Dark? Point-of-Care Testing in the Population With Hip Fracture

Overview
Publisher Sage Publications
Specialty Geriatrics
Date 2015 Sep 2
PMID 26328229
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Abstract

Hip fracture incidence rises globally in an aging population who live in an era of financial austerity. Health service providers are under pressure both to optimize care and to increase efficiencies in the management of this vulnerable patient group. One area of inefficiency in perioperative processes is the assessment of deranged clotting profiles secondary to warfarinization and in the monitoring of hemoglobin. Delays are inherent in these processes, threatening patient care and impacting on financial incentivisation of performance. Point-of-care testing, while widespread in other areas of health care, is underutilized in hip fracture management. This work explores the application to hip fracture care of this technology and suggests future direction to investigate its potential benefits.

References
1.
Bhaskar D, Parker M . Haematological indices as surrogate markers of factors affecting mortality after hip fracture. Injury. 2010; 42(2):178-82. DOI: 10.1016/j.injury.2010.07.501. View

2.
Crook M . Near patient testing and pathology in the new millennium. J Clin Pathol. 2000; 53(1):27-30. PMC: 1731065. DOI: 10.1136/jcp.53.1.27. View

3.
Griffiths P, Edwards M, Forbes A, Harris R, Ritchie G . Effectiveness of intermediate care in nursing-led in-patient units. Cochrane Database Syst Rev. 2007; (2):CD002214. PMC: 7017859. DOI: 10.1002/14651858.CD002214.pub3. View

4.
Jennings I, Luddington R, Baglin T . Evaluation of the Ciba Corning Biotrack 512 coagulation monitor for the control of oral anticoagulation. J Clin Pathol. 1991; 44(11):950-3. PMC: 496638. DOI: 10.1136/jcp.44.11.950. View

5.
Cullum N, Spilsbury K, Richardson G . Nurse led care. BMJ. 2005; 330(7493):682-3. PMC: 555617. DOI: 10.1136/bmj.330.7493.682. View