AB116. SOH25_AB_207. Neck of femur fractures: an audit of Irish hip fracture database standards of care
Orthopaedic Session I

AB116. SOH25_AB_207. Neck of femur fractures: an audit of Irish hip fracture database standards of care

Conor O’Flynn1, Liam O’Dwyer2, John Cassidy2, Grainne Curran3

1Faculty of Education & Health Services, School of Medicine, University of Limerick, Limerick, Ireland; 2Department of Orthopaedics, University Hospital Limerick, Limerick, Ireland; 3Department of Orthopaedics, National Orthopaedic Hospital Cappagh, Dublin, Ireland

Background: The Irish hip fracture database (IHFD) has seven standards of care for neck of femur fractures. Standard 5 states that all patients presenting with a fragility fracture should have a bone health assessment. A bone health assessment includes the following: fracture risk assessment (FRAX), dual energy X-ray absorptiometry (DEXA), and blood tests to exclude secondary causes of osteoporosis. As part of Standard 4, an orthogeriatrician will request these bloods, colloquially known as ‘orthogeriatric bloods’. The main objective of this audit was to review the last 100 cases of neck of femur fractures admitted to University Hospital Limerick (UHL) and see if orthogeriatric bloods as per the IHFD were ordered for the patients.

Methods: A retrospective audit was carried out on the last 100 hip fractures admitted in UHL. Data was collected to determine if patients received orthogeriatric bloods as part of their bone health assessment. These bloods included parathyroid hormone (PTH), vitamin D, calcium, phosphorus, Thyroid function tests, haematinics, haemoglobin A1c (HbA1c) and iron studies. The only population excluded from this study were patients below the age of 60 years as per IHFD guidelines.

Results: There is a lack of consistency with both taking these bloods and which individual bloods are taken. Bloods that are not part of routine bloods such as PTH, vitamin D, and HbA1c are the most poorly captured.

Conclusions: This audit shows the lack of work up for secondary causes of osteoporosis for patients admitted with hip fractures in UHL. Future aims are for education within the orthopaedic department and engagement with laboratory services, and to re-audit post-intervention.

Keywords: Hip fracture; surgery; orthopaedics; elderly; audit

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab116
Cite this abstract as: O’Flynn C, O’Dwyer L, Cassidy J, Curran G. AB116. SOH25_AB_207. Neck of femur fractures: an audit of Irish hip fracture database standards of care. Mesentery Peritoneum 2025;9:AB116.

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