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Table 3 Medical treatment in the two groups

From: Development and delivery of patient treatment in the Trondheim Hip Fracture Trial. A new geriatric in-hospital pathway for elderly patients with hip fracture

 

 DOS 

 DG 

Hydration

  

 Intravenous fluid preoperatively

 V 

 V 

 Monitoring fluid intake postoperatively

 

 V 

Perioperative antibiotic prophylaxis

 V 

 V 

Thromboembolic prophylaxis

 V 

 V 

Nutrition

  

 Assessment of nutritional status*

 

 V 

 Nutritional drinks

 

 V 

Decubitus prophylaxis by pressure relieving mattresses

 V 

 V 

Oxygenation

  

 Transfusion if Hb < 10

 

 V 

 Oxygen if saturation < 95%

 

 V 

 Avoiding hypotension (including orthostatic hypotension)

 

 V 

Analgesia

  

 Femoral nerve block

 V 

 V 

 Paracetamol 1 g every 6 h, opioids on demand

 V 

 V 

 Pain assessment during rest and activity by VRS

 

 V 

Urine

  

 Removal of catheter within 24 h postoperatively

 V 

 V 

 Screening for infection pre- and postoperatively

 

 V 

 Screening for urinary retention

 

 V 

Constipation

  

 Prophylaxis and monitoring (in cognitively impaired patients)

 

 V 

Delirium

  

 Regular assessment

 

 V 

 Focus on prevention

 

 V 

Osteoporosis assessment

 

 V 

Falls assessment

 

 V 

  1. DOS – Department of Orthopaedic Surgery. DG- Department of Geriatrics
  2. VRS- Verbal Rating Scale.
  3. *Nutritional status – history of recent weight loss, low body mass index, low caloric intake.