The Timeliness of Ankle Fracture Management from Presentation to Discharge; Our Experience from a District Eeneral Hospital
Journal Title: Majallah-i jarrāḥī-i ustukhvān va mafāṣil-i Īrān - Year 2018, Vol 16, Issue 1
Abstract
Introduction: Unstable ankle fractures are a common presentation and operative intervention has proven to improve patient outcomes. Each stage of patient management can have an impact on patient length of stay and clinical outcome. The aim of the present study is to assess how we manage the patient at each stage from their presentation right through to discharge, and if/how variation in practice differed significantly. Methods: From April 2017 to December 2017, in the Heart of England NHS Foundaon Trust (HEFT), we retrospecvely analysed the data of 49 paents with a diagnosis of an unstable ankle fracture. The paent journey was assessed from presentation to the Emergency Department (ED) right through to discharge. Postoperative notes were also reviewed. Data was obtained through our Trauma Audit and Research Network (TARN). Results: 49 paents had surgical fixaon for their ankle fracture. Whilst in the ED, less than 50% of the patients had a radiographic diagnosis of an ankle fracture within 30 minutes of arrival.25 paents were admied to the ward within 4 hours, with some paents having to wait more than 9 hours.27 paents (more than 50%) had their surgery within 2 days aer being admied, in comparison to 6 paents who had to wait more than 6 days for their operaon. The former were found to have shorter hospital length of stay postopera vely.47 out of the 49 paents were given chemical thromboprophylaxis, all paents were advised to not weight bear for a minimum of 6 weeks, and no post-operative morbidity or mortality was encountered. Conclusion: We found an association between early ankle fracture fixation, and reduced post-operative hospital Length of Stay (LOS). Conflict of interest: None to declare
Authors and Affiliations
Mr SA Shahban, DrA Saad
Keywords
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