title: Preoperative care management of patients with hip fractures during the wait time between emergency department discharge and operating room admission for surgical repair.
abstract: BACKGROUND
  Recognizing a patient's needs during the emergency department to operating room interval is crucial to identify areas for improvement. A review of the literature provided no pertinent research regarding this phase of the preoperative experience.
  
  
  OBJECTIVE
  This descriptive study examined the preoperative care management of patients with hip fractures during the wait time between emergency department discharge and operating room admission.
  
  
  METHODS
  Data were collected through a systematic retrospective chart review. Demographic variables included gender, age, and comorbidities. Preoperative patient variables included type of analgesia, level of pain, antiembolism interventions, fluid intake, sensory perception/cognition, mobility, and nutritional intake. Subjects were patients cared for at 3 sites in a large multihospital system. A total of 137 charts were reviewed.
  
  
  RESULTS
  Although findings were not statistically significant, opportunities to improve care were identified. More attention is needed to evaluate patients effectively for pain, particularly where there are cognitive deficits. Designing and implementing a program for increased bed mobility and protocols that closely monitor and manage fluid intake may offset postoperative complications.
authors.affiliation: Grant Medical Center/OhioHealth, Columbus, Ohio, USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Lucki
authors.forename: Deborah E
authors.initials: DE
authors.lastname: Napier
authors.forename: Cynthia
authors.initials: C
authors.lastname: Wagner
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms; D010351:Patient Discharge; D011300:Preoperative Care