Hipcast

In this episode, Professor Rebecca Mitchell and Dr Hannah Seymour discuss the work they led in partnership with international colleagues from the Fragility Fracture Network on consensus statements developed to aid clinicians in their decision-making and to reduce practice variations in the management of patients with hip fracture taking direct oral anticoagulants. For the full article: Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226?af=R For more information on the upcoming ANZHFR Sprint Audit, email j.hallen@neura.edu.au

Professor Jacqui Close, Registry Co-Chair and Geriatrician at Prince of Wales Hospital, along with Dr Phil Black, Anaesthetist at Prince of Wales Hospital share the results of the ANZHFR Preoperative Fasting Sprint Audit and the implementation of Sip Til Send at Prince of Wales. Resources: Kluger MT, Culwick MD, Moore MR, Merry AF. Aspiration during anaesthesia in the first 4000 incidents reported to webAIRS. Anaesthesia and Intensive Care. 2019;47(5):442-451. doi:10.1177/0310057X19854456 The video recording of Professor Close's presentation on the Preoperative fasting sprint audit at the Binational Hip Fest can be found at: https://www.youtube.com/watch?v=Y1kadcg2Hz4 The podcast with Dr Matthew Checketts, Consultant Anaesthetist, titled Sip Til Send can be found at: https://hipcast.buzzsprout.com/1739857/10350612 For further information on the Sprint Audit, go to: https://anzhfr.org/sprintaudits/ Sip Til Send Resources: Prince of Wales and Sydney/Sydney Eye Hospital. See Shared hospital resources at https://anzhfr.org/resources/

Professor Xavier Griffin spearheads academic orthopaedics at Queen Mary University London and Barts Health, having joined as the inaugural chair of Bone & Joint Health. Professor Griffin's vision is for world class excellence in research and clinical academic training; providing opportunity for the next generation of clinician scientists to realise their aspirations. Professor Griffin presented at ANZHFR's 2022 Binational Hip Festival in Melbourne, Australia on quality of life after hip fracture. We are pleased to provide his presentation in podcast format. The open access publication mentioned early in the podcast can be found at: https://boneandjoint.org.uk/article/10.1302/0301-620X.103B5.BJJ-2020-1839.R1 (Reference: Griffin XL, Achten J, Parsons N, Costa ML, On behalf of the WHiTE collaborators. Does performance-based remuneration improve outcomes in the treatment of hip fracture?. Bone Joint J. 2021;103-B(5):881-887. doi:10.1302/0301-620X.103B5.BJJ-2020-1839.R1) The video recording of the presentation can be found at: https://www.youtube.com/watch?v=dLdbb-RnYgk All recorded sessions from the ANZHFR 2022 Binational Hip Fest are available on our website: https://anzhfr.org/hipfest2022/

On this episode, join episode host James Wright, Registered Nurse and ANZHFR Project Manager, and guest Nicola Ward, NZ Hip Fracture Registry Coordinator and Clinical Nurse Specialist for the Fracture Liaison Service at Tauranga Hospital, NZ to hear some nursing tips for caring for people after hip fracture.

Dr Richard Kjar, Director of Orthopaedics, Ms Lisa Gephart, Clinical Nurse Consultant Acute Pain Service and Ms Megan Gilbert, Hip Fracture Clinical Specialist discuss the journey to implement the ANZHFR at Northeast Health Wangaratta in Victoria, Australia. View the hospital's innovative NHW Hip Fracture Pathway - Staff awareness - Tik Tok type reel

Caroline Miller is a Consumer Representative on the New Zealand Implementation Committee of the Hip Fracture Registry. Caroline has a lived experience of hip fracture and spoke at New Zealand's Hip Festival in Wellington in September 2022. Tune in to hear her advice to health professionals working in hip fracture care.

On this episode, join physiotherapist and ANZHFR project officer Karen Lee, Professor Cathie Sherrington from The University of Sydney, and physiotherapists Mr Brett Baxter from Princess Alexandra Hospital, Brisbane and Ms Rebecca Ferrier from The Prince Charles Hospital, Brisbane as they share their Hip Tips from Physiotherapy. To summarise for our listeners, the Top Tips for Physiotherapy are: 1. Physiotherapy intervention early and as intense as possible. 2. Coordinated care is best. Look for opportunities to mobilise your patients 3. Enhance hip fracture recovery after discharge from hospital 4. Take care with progressing patients with hemiarthroplasty fixation performed via a lateral approach 5. The latest evidence tells us physio expertise is valuable after hip fracture including in the post-discharge phase Recommended Resources: - https://australian.physio/inmotion/physiotherapy-and-fractured-neck-femur - Cochrane Review coming soon - Hip4Hips RCT - BOOST Study - ANZHFR Acute Rehabilitation Sprint Audit Please contact Ms Rebecca Ferrier via rebecca.ferrier@health.qld.gov.au to find out more about The Prince Charles Hospital physio led hip fracture post-surgical review clinic.

This podcast episode is hosted for the ANZHFR by former Registry Manager, Elizabeth Armstrong. On this episode, Elizabeth discusses with Dr Irewin Tabu the development and implementation of the Multicenter Implementation of Orthogeriatrics and a Fracture Liaison Service for Older People who have sustained a Hip Fracture. Dr Irewin Tabu is a Consultant in the Department of Orthopaedics at the University of the Philippines - Philippine General Hospital in Manila, and is Lead Investigator for the project which kicked off on the 1st April this year. The project launch meeting can be found at: https://www.ffnphil.org/frameworkforasustainabledigitalhealthregistry The APFFA Hip Fracture Registry toolbox can be found at https://apfracturealliance.org/hfr-toolbox/ REDCap is a secure web application for building and managing online surveys and databases. For more information go to https://www.project-redcap.org/

Join dietetics Dr Jack Bell from The Prince Charles Hospital, Kathryn Kane from Christchurch Hospital and Alexandra Fuller from The Wollongong Hospital as they share their top tips on optimising nutrition care of hip fracture using the SIMPLER approach.

Do you know what it’s like to undergo hip replacement surgery? James Wright, a registered nurse at the ANZHFR discusses the consumer experience of hip fracture replacement surgery patient and clinician Kristina Stiles.

Join registered nurse from ANZHFR James Wright as he hears about the acute journey of the hip fracture patient through the perspective of a loved one. Daughter Miranda Smith shares her recent lived experience of caring for her dad Barry's experience with hip fracture recovery.

This podcast episode is hosted by the Co-Chair of the Asia Pacific Fragility Fracture Alliance, geriatrician Dr Hannah Seymour from Fiona Stanley Hospital in WA. On this episode, Dr Seymour discusses the Hip Attack Trials with principal investigator Dr Flavia Borges. Dr Borges is an Internist and Assistant Professor in the Department of Medicine, and in the Perioperative Care Division at McMaster University. She is also an Investigator at the Population Health Research Institute, Hamilton, Canada.

On this Hip Tips episode, join ANZHFR co-chair and orthopaedic surgeon Dr Catherine McDougall and orthopaedic surgeons Dr Chris Wall Toowoomba Base Hospital & Dr Ruth Varrall from Rockhampton Base Hospital as they share their top tips for optimising care for patients with hip fracture from an orthopaedic perspective. Recommended Resources: 1. Toowoomba Base Hospital: Rural NOF Pathway 2. The Health Investigators: Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture 3. AOANJRR: Hip Knee & Shoulder Arthroplasty Annual Report 2021 4. British Orthopaedic Association (not Hip Society): Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture 5. Fernandez et al, NEJM: Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture

On this episode is Dr Mitchell Sarkies, a NHMRC Emerging Leadership Fellow from the Institute of Health Innovation at Macquarie University shares the upcoming plans for the ANZHFR Sprint Audit in acute rehabilitation. Suggested references: 1. ANZHFR Sprint Audit page 2. Chartered Society of Physiotherapy: The national physiotherapy hip fracture sprint audit 3. ANZHFR March Newsletter Please contact our Australian Registry Manager Jamie Hallen on j.hallen@neura.edu.au if your site would like to take part in this ANZHFR Sprint Audit. Please note that due to the QLD Public Health Act requirement, QLD-based hospitals are not able to participate in the patient-level audit.

Welcome to our new Hipcast series "Hip Tips" providing you with tips from experts in hip fracture care. On the episode, join ANZHFR co-chair and orthogeriatrician Prof Jacqueline Close & geriatrician Dr Sarah Hurring as they share their top tips for optimising care for patients with hip fracture from a geriatrics perspective. Please see below for the list of resources mentioned: 1. ANZHFR Annual Report 2021 2. ANZHFR Sprint Audit summary page 3. ANZHFR Bone Protection Medication Sprint Audit 4. ANZHFR Nutrition Sprint Audit 5. Association of Anaesthetists of Great Britain & Ireland: Guideline for the management of hip fractures 2020 6. Hipcast: Sip Til Send with anaesthetist Dr Matthew Checketts (NHS, Scotland)

On today’s episode, we will be talking about the "Boost Project" with senior physiotherapist Marie March from Blacktown & Mt Druitt Hospitals in the Western Sydney Local Health District. Marie is a current clinical lecturer, PhD student, researcher and casual academic at the University of Sydney. She is also the chief investigator for the "Boost Project" investigating how hospitals can deliver more frequent exercise programs for inpatients with hip fracture through an implementation science study with physiotherapists and other healthcare workers. Recommended resources: Hipcast: High Intensity Physiotherapy for Hip FracturesHIP4Hips (High Intensity Physiotherapy for Hip fractures in the acute hospital setting): a randomised controlled trialOutcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research AgendaSax Translational Research Framework

In this, episode, consultant anaesthetic Dr Matthew Checketts from Ninewells Hospital Dundee, Scotland joins to share the initiative he’s been pioneering called the Sip Til Send policy which aims to reduce fluid fasting times for surgical patients in hospital. Anaesthetist and intensivist Dr Sean McManus from the Royal Brisbane and Women's hospital in Queensland also joins to discuss the clinical potential of this approach. For those seeking advice on implementing this policy, you can contact Dr Checketts on Matthew.Checketts@nhs.scot To access the Sip Til Send graphic, please click here.

On this episode anaesthetist A/Prof Mark Neuman of the REGAIN trial from the University of Pennsylvania joins to discuss the recently published Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults in the New England Journal of Medicine. Geriatrician Dr Hannah Seymour from Fiona Stanley Hospital joins to discuss clinical impact of anaesthetic choice on the outcome of patients with hip fractures. You can find the publication here: https://www.nejm.org/doi/full/10.1056/NEJMoa2113514

Clinical dietitian Dr Jack Bell from Prince Charles Hospital in Brisbane and clinical nutritionist Assistant Prof Ólöf Guðný Geirsdóttir from the University of Iceland discuss the importance of interdisciplinary nutritional management and care of older adults based on their recently published open access textbook. This text is a fantastic resource to assist nursing nutritional care in particular. You can find the publication here: https://link.springer.com/book/10.1007/978-3-030-63892-4

On this episode, Dr Hannah Seymour joins the podcast to talk about the Clinical Frailty Scale, a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition. Dr Seymour is a geriatrician based at Fiona Stanley Hospital in Western Australia and she has been researching effectiveness of employing the Clinical Frailty Scale in predicting mortality in hip fracture care. Publication: Narula, S., Lawless, A., D’Alessandro, P., Jones, C. W., Yates, P., & Seymour, H. (2020). Clinical Frailty Scale is a good predictor of mortality after proximal femur fracture: A cohort study of 30-day and one-year mortality. Bone & joint open, 1(8), 443-449. Suggested Resources: AIMS Research Group - Clinical Frailty Scale Training Module Dalhousie University Clinical Frailty Scale Guidance and Training