By Scottish Intercollegiate Guidelines Network
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Extra resources for Management of Hip Fractures in Older People Guidelines
Non-operative treatment of impacted femoral neck fractures. A prospective study of 170 cases. J Bone Joint Surg Br 1991;73(6):950-4. 93. Parker M, Blundell C. Choice of implant for internal fixation of femoral neck fractures - meta analysis of 25 randomised trials including 4925 patients. Acta Orthop Scand 1998;69(2):138-43. 94. Lu-Yao G, Keller R, Littenberg B, Wennberg J. Outcomes after displaced fractures of the femoral neck. A meta-analysis of one hundred and six published reports. J Bone Joint Surg Am 1994;76(1):15-25.
Horlocker TT, Heit JA. Low molecular weight heparin: biochemistry, pharmacology, perioperative prophylaxis regimens, and guidelines for regional anesthetic management. Anesth Analg 1997;85(4):87485. 83. Checketts M. Regional anaesthesia in patients taking anticoagulant drugs. Anaesth and Int Care Med 2006;7(11):411-3. 84. Carson J, Duff A, Berlin J, Lawrence V, Poses R, Huber Eea. Perioperative blood transfusion and postoperative mortality. JAMA 1998;279(3):199-205. 85. , Goodnough L, Monk T. Perioperative myocardial ischemic episodes are related to hematocrit level in patients undergoing radical prostatectomy.
151 Oral multinutrient feeds provide protein, energy, some vitamins and minerals and may reduce complications whilst in hospital, although they have no effect on mortality. The presence of protein in an oral feed may reduce the number of days spent in rehabilitation. 140 1++ The studies were unclear regarding how long supplementation should continue; the duration varying from study to study. 25 Management of hip fracture in older people The SHFA found that the median time from admission until nutritional assessment was one day, ranging from 0 to 12 days across Scotland.