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Fragility hip fractures, often caused by a fall from standing height, portend substantial morbidity and mortality. Yale researchers implemented a multidisciplinary, multicomponent intervention designed to improve hip-fracture outcomes. The intervention involved preoperative, intraoperative, and postoperative standardized care processes: In addition to standardized order sets, unique aspects included preoperative femoral nerve block, a geriatric pain management protocol, perioperative tranexamic acid infusion (to limit postoperative blood loss), restrictive blood transfusion postoperatively, a nutrition optimization plan, and early mobilization.
Outcomes were compared between 275 hip-fracture patients who received care in the 12-month preinte…