LAUSR

Background: Hip fractures are the most serious injury due to fall, resulting in lengthy hospital admissions and high cost to health service [1]. They result in loss of independence, with 50% of patients unable to walk independently again, difficulties in carrying out activities of daily living and around 28% die within a year [2]. Methods: We followed up 60 patients one year post hip surgery in virtual clinic, admissions from January to April 2016. They were assessed by Zuckerman Function Recovery Score (ZRS) and by New Mobility Score. The results were compared from admission to one year following hip surgery. Patients were also asked if they are on bone protection and if they had any falls. Results: Total of 60 patients were assessed in a virtual clinic. 7 of which died. Of the remaining 53, 43 were female and 10 male. The mean age was 82. The mean ZRS on admission was 71 and after one year dropped to 58 indicating a decrease in the level of function. The mean New Mobility score was 5.4 and dropped to 4.8 at one year. Falls were protected in 6/53. Out of 53 patients, 31 remained on bone protection. Phone calls including dictations took an average of 15 minutes. Conclusion: Following hip fracture patients have a decline in their function and in their mobility as our results show. 58% of reviewed were compliant with their bone protection. Virtual clinic is a novel and efficient way of following these patients after hip surgery. References 1. Neuburger J, Currie C, Walkeman R et al. The impact of national clinic led audit initiative on care and mortality after hip fracture in England: external evaluation using time trends in non-audit data. Med Care 2015; 53: 686–91. 2. Hip Fracture Database 2016 Annual report.www.nhfd.co.uk/2016 report