title: [Fast-tracking admission from emergency room to orthopaedic ward in hip fracture patients].
abstract: BACKGROUND
  The traditional admission protocol for hip fracture patients often results in long waiting hours in the A&E. The aim of this study was to investigate the effect of an optimised admission protocol on the time spent in the A&E in an already established multimodal rehabilitation program.
  
  
  METHODS
  Descriptive, prospective intervention study in two groups of 150 hip fracture patients admitted before and after the implementation of an optimised admission protocol, which included nurse requested x-ray and opioid-free analgesic.
  
  
  RESULTS
  The median waiting time in the control group was 251 min (83-632 min.) compared to 185 min (58-522 min, p < 0,001)) in the intervention group. The median waiting time for operation was 18-19 hours in both groups.
  
  
  CONCLUSIONS
  An optimised admission protocol, including nurse requested X-ray for hip fracture patients, led to a reduction in the time spent in the A&E.
authors.affiliation: Hvidovre Hospital, Ortopaedkirurgisk Afdeling, Hvidovre. pia.soe.jensen@hh.hosp.dk
authors.forename: Pia Søe
authors.initials: PS
authors.lastname: Jensen
authors.forename: MayBritt
authors.initials: M
authors.lastname: Holm
authors.forename: Finn Tang
authors.initials: FT
authors.lastname: Christensen
authors.forename: Nicolai Bang
authors.initials: NB
authors.lastname: Foss
authors.forename: Henrik
authors.initials: H
authors.lastname: Kehlet
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage; D002985:Clinical Protocols; D019091:Critical Pathways / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000592:standards; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D010343:Patient Admission; D010360:Patient Transfer; D011446:Prospective Studies; D019984:Quality Indicators, Health Care; D011859:Radiography; D012017:Referral and Consultation / Q000458:organization & administration / Q000592:standards; D013997:Time Factors; D014850:Waiting Lists
chemical_list: D000701:Analgesics, Opioid