Abstract No.: ABS0455: Perioperative management of hip fracture patients- are we following the guidelines? a retrospective observational study

BACKGROUND AND AIMS: No study have explored guidelines on management of hip fracture patients practice in our country. METHODS: This retrospective study included all patients above 65 years of age , scheduled for orthopaedic surgery following hip fracture from January 2020 - 21. The hospital information system was used to obtain the clinical details. The details of care pathway received by patient from the time of admission until discharge were collected. For perioperative outcome, patients were followed up to 30 days after hospital admission. . The perioperative management was compared with the Association of Anaesthetists of Great Britain and Ireland (AAGBI), guidelines for management of hip fractures and any deviations from compliance was recorded. Our primary objective was to assess the adherence to these guidelines at our hospital. Secondary objectives were to explore the deviations in practice. RESULTS: A total of 126 patients were included in the tsudy.The adherence to the major recommendations are shown in Figure 1. Use of antiplatelet drugs was the reason most commonly cited for delay in surgery. Anaesthesia was administered in 75% of the patients by senior anaesthesiologist. Majority (71.1%) were operated under subarachnoid block [Figure 1]. A total of 32% patients developed intraoperative hypotension and 16% patients developed postoperative complications, the most common was aspiration pneumonia. Out of all patients, 10 patients expired in the postoperative period. CONCLUSION: We found that the adherence to the AAGBI recommendations was good in several areas but lacked in. preoperative cognitive assessment and involvement of geriatrician. Aged; hip fractures;medical audit; total quality management..