Hipcast

Send us Fan MailIn this episode of Hipcast, we’re joined by Associate Professor Chris Wall, Director of the Department of Orthopaedics at Toowoomba Hospital, Orthopaedic Surgery Co-Chair of the Australian and New Zealand Hip Fracture Registry, and Assistant Deputy Registry Clinical Director for the Australian Orthopaedic Association National Joint Replacement Registry.In this conversation, we explore periprosthetic femur fractures - an increasingly common and complex challenge as rates of joint replacement continue to rise. Chris outlines what these fractures are, who they affect, and why they matter in modern orthopaedic and orthogeriatric care.We discuss key aspects of management, including surgical decision-making and the challenges of fixation versus revision, as well as what current data tells us about patient outcomes.Importantly, the episode highlights why including periprosthetic fractures in registry data is critical, and how this can support better understanding, improved care, and system-wide quality improvement.🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailIn this episode of Hipcast, we’re joined by Professor Kim Delbaere, Discipline Lead of Physiotherapy at UNSW Sydney and Senior Principal Research Scientist at Neuroscience Research Australia, as well as Immediate Past President of the Australian and New Zealand Falls Prevention Society.In this conversation, we explore the important relationship between falls prevention and hip fracture care, and why preventing falls remains a critical – but often under-recognised – part of improving outcomes for older adults.Kim discusses the work of the Falls Prevention Alliance Australia, the current national landscape of falls prevention, and some of the key challenges in translating strong evidence into real-world practice across health systems and communities.Importantly, the discussion highlights the role clinicians, health services, and communities can play in strengthening falls prevention efforts, along with practical insights for those working in hip fracture care.🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailIn this episode of Hipcast, we’re joined by the Waitematā Hip Fracture Team in Aotearoa New Zealand, winners of the ANZHFR Golden Hip Award for five consecutive years.Dr Min Yee Seow (Clinical Lead, Orthogeriatric Service), Vandhana Sharan (Orthopaedic Charge Nurse), and Kyleigh Pailman (Orthopaedic Physiotherapist) share how their multidisciplinary team has built one of the highest-performing hip fracture services across Australia and New Zealand.The conversation explores the practical systems, team culture, and small operational changes that help Waitematā consistently deliver high-quality care – from coordinated multidisciplinary teamwork and early mobilisation to managing common challenges such as delirium and patient flow.Importantly, the team reflects on the lessons learned along the way and offers practical advice for services looking to improve their own hip fracture care.Whether you work in orthopaedics, geriatrics, nursing, physiotherapy, or health service leadership, this episode provides valuable insights into how strong teamwork and continuous improvement can translate into better outcomes for patients with hip fracture.🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailIn this episode of Hipcast, we’re joined by Lauren Wulff, a community physiotherapist with the AWHI Early Supported Discharge Team in the Hutt Valley, New Zealand. With limited access to inpatient rehabilitation beds, Lauren and her team have built a comprehensive, high-functioning community-based rehabilitation model that supports patients from the moment they leave hospital.Lauren shares how the Hutt Valley service delivers safe early discharge, provides intensive home-based rehabilitation, and equips patients and whānau with the skills, confidence, and support they need to regain mobility and independence.Whether you work in orthopaedics, geriatrics, allied health, general practice, or community care, this episode provides actionable insights into delivering high-quality rehabilitation outside the traditional ward environment.🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailIn this episode of Hipcast, we explore the newly released Clinical Standards for Secondary Fracture Prevention Programs, developed by the SOS Fracture Alliance (SOSFA) and released in November 2025.Joining us are:Professor Markus Seibel, Chair of the SOS Fracture Alliance and Professor of Medicine at The University of SydneyDr Lauren Nacey, Geriatrician and leader in secondary fracture preventionProfessor Rudi Jaarsma, Academic and Clinical Director of Orthopaedic Surgery at Flinders Medical CentreDr Fiona Mackie, consumer representative with lived experience of osteoporosis and fracture riskTogether, they discuss why these standards were developed, the evidence and expertise that informed them, and how they aim to improve care for people who sustain a fragility fracture.🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailDr Grace Taylor from the Department of Orthopaedic Surgery, North Shore Hospital, Auckland, New Zealand joins to share findings from her research "Standard of care and outcomes for Māori patients with neck of femur fractures" published in the ANZ Journal of Surgery. 

Send us Fan MailIn this episode of Hipcast, we speak with three clinical experts about the complexities of surgical timing in hip fracture patients who are taking SGLT2 inhibitors and GLP-1 receptor agonists.Professor Jacqueline Close (Consultant Geriatrician, Prince of Wales Hospital / Neuroscience Research Australia), A/Prof Katherine Tonks (Endocrinologist, Sydney Endocrinology / St Vincent’s Hospital) and Dr Louisa Lowes (Anaesthetist and Director of Perioperative Medicine, Prince of Wales Hospital) share insights from their respective disciplines on balancing surgical urgency with medication-related risks.The discussion explores:Mechanisms and perioperative considerations of SGLT2 inhibitors and GLP-1 agonistsHow these agents influence timing and safety of hip fracture surgeryInterdisciplinary strategies to minimise perioperative complicationsPractical take-aways for clinicians🔗 Resources mentioned:Australian Diabetes Society (ADS):Peri-operative Management of Diabetes MedicationsANZCA Safety Alert: ALERT UPDATE May 2023 Periprocedural Diabetic Ketoacidosis (DKA) with SGLT2 Inhibitor Use In People with DiabetesANZCA Safety Alert: Clinical Practice Recommendations regarding patients taking GLP-1 receptor agonists and dual GLP-1/GIP receptor co-agonists prior to anaesthesia or sedation for surgical and endoscopic procedures.Australian and New Zealand Hip Fracture Registry (ANZHFR):Clinical Care Standards and Annual ReportA/Prof Katherine Tonks resource: Is your patient on a SGLT-2 Inhibitor?ANZCA Patient Instructions: Preparing for your medical procedure when taking some diabetes and/or weight loss medications🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Send us Fan MailIn this special episode of Hipcast, host Dr Niamh Dove speaks with Nick May, husband and carer of his wife Fleur who sustained a hip fracture and underwent hospital treatment and recovery.Nick shares his reflections on navigating the hospital experience, the realities of recovery at home, and how life changes after a hip fracture - from the viewpoint of the person providing day-to-day care. His story highlights the essential role of carers in supporting recovery and what health professionals can learn from their perspective.This episode is brought to you by the Australian and New Zealand Hip Fracture Registry (ANZHFR), dedicated to improving outcomes and experiences for people with hip fracture and their families.

Send us Fan MailOn this episode, A/Prof Jennifer Stevens and Emma Pauley share findings from their quality improvement project titled: A post-operative analgesic bundle of fascia iliaca catheter and celecoxib for elderly patients with hip fracture: a quality improvement project. Jenny is an Associate Professor at both University of Notre Dame and UNSW as well as an anaesthetist and pain specialist at St Vincent’s Campus in Sydney, Australia. Emma is a Senior Orthopaedic Physiotherapist, also at St Vincent’s Hospital Darlinghurst. Please find below the links for the resources mentioned in this episode:ANZCA Resources for Change: https://www.anzca.edu.au/getContentAsset/4e02b985-9852-426f-aa16-b7f06ac2725a/80feb437-d24d-46b8-a858-4a2a28b9b970/Celecoxib-guidelines-May-2024.pdf?language=enGawthorne J, Stevens J, Faux  S, Leung J, McInnes E, Fasugba O, Mcelduff B, Middleton S. Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department. Journal of Clinical Nursing. 9th June 2021. https://doi.org/10.1111/jocn.15883Riley M, Tassie B, Gawthorne J, Hadzic R, Stevens J. Increased opioid consumption following regional nerve blockade: could fascia iliaca block be associated with rebound pain in neck of femur fracture? Br J Anaes. 10 May 2021. https://doi.org/10.1016/j.bja.2021.03.034 

Send us Fan MailOn the episode, the Older Persons Emergency Network (OPEN) Clinical Director Dr Elizabeth (EJ) Marsden and OPEN nurse practitioner Sarah Bold share their teams achievements to provide pre-hospital hip fracture care. The OPEN Metro North  team provides a pre-hospital neck of femur fracture pathway as a Queensland Ambulance Service co-response emergency department substitution model to provide timely outreach care for frail older persons living in residential aged care facilities and the community.

Send us Fan MailJoining us on this episode to revisit and update on the topic of direct oral anticoagulants, or DOACS, and timing of surgery are Dr Hannah Seymour, a consultant geriatrician from Fiona Stanley Hospital in WA and Dr Seth Tarrant an orthopaedic surgeon from John Hunter Hospital NSW. We covered this topic on this Hipcast episode in 2024 with Hannah and Professor Rebecca Mitchell following the results of ANZHFR Sprint Audit and publication of the Fragility Fracture Networks’ consensus statement in the journal Anaesthesia.  We will also be looking at how time to surgery is tracking across AU and NZ and implications of this for practice.

Send us Fan MailDr Suzanne Dyer presents on What the Evidence Tells Us in Rehabilitation at the ANZHFR Hipfest 2023. Dr Dyer is a senior research fellow at Flinders University, she’s worked as a researcher in both the public and private sector with expertise in evidence based methodologies including health technology assessment, systematic reviews, meta-analysis and guideline development. She’s the author of over 70 publications and reports including the Cochrane Review on Interventions for Improving Mobility after Hip Fracture.Please find the mentioned research below:- Interventions for improving mobility after hip fracture surgery in adults - 2022 Cochrane Review- Multidisciplinary rehabilitation for older people with hip fractures - 2021 Cochrane Review- Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery - 2015 Cochrane Review

Send us Fan MailJoining the John Hunter Hospital hip fracture care team on Hipcast to sharing their insights into the multidisciplinary care approach of their site awarded the ANZHFR Australian Golden Hip 2023 Award for top performing hospital. Joining us on the episode:Mrs Ramya Kunnath: Orthopaedic Clinical Nurse Consultant - Hunter New England LHDDr Erica Epstein: Geriatrician - Hunter New England LHDDr Seth Tarrant: Orthopaedic surgeon - Hunter New England LHDProf Zsolt Balogh: Director of Trauma  - Hunter New England LHD 

Send us Fan MailProfessor Kim Delbaere & Dr Rik Dawson share their work on raising awareness for falls prevention nationally. Kim is a Senior Principal Research Scientist at Neuroscience Research Australia and a Professor of Health Sciences at the University of New South Wales. She is the current President of the Australian and New Zealand Falls Prevention Society. Dr Rik Dawson is a Gerontological Physiotherapist and postdoctoral researcher at the Institute for Musculoskeletal Health at the University of Sydney. Rik is the current National President of the Australian Physiotherapy Association. 

Send us Fan MailA/Prof Danielle Ni Chroinin explores the effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery. Links discussed:1. The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study (2020) in Anaesthesia2. Delirium Reduction by Analgesia Management in Hip Fracture surgery (DRAM-HF): Exploration of perceived facilitators and barriers (2021) in Australasian Journal on Ageing3. Clinical Practice Guideline: Orthogeriatric Hip Fracture Care (2023)

Send us Fan Mail1 in 3 Australians aged 65 and over fall each year making it the leading cause of death for this age group.Rik Dawson, an experienced physiotherapy and researcher, lifts the curtain to explain what is happening in residential care facilities in terms of physiotherapy care and rehabilitation and explores some important issues including: The lack of rehabilitation available in residential aged care facilities;  The massive problem of falls in these facilities;The challenges of providing care and staffing as set by the Aged Care Act 1997 and the impact on coordinated care;Specific areas of focus in physiotherapy and residential aged care that warrant funding for improved quality of life outcomes.

Send us Fan MailComing to you live at the 2024 ANZHFR Hipfest in Sydney to hear about how the Registry data is fuelling improvements in hip fracture care across the country. Guests include:- Dr Sheila Rahman, Orthogeriatrician, Campbelltown Hospital (NSW)- Dr Hannah Seymour, Geriatrician, Fiona Stanley Hospital (WA)- Mel Alexander, Intensive Care Paramedic, SA Ambulance Service (SA)

Send us Fan MailDr Lara Harvey, a senior research fellow at Neuroscience Research Australia and our ANZHFR co-chair Prof Jacqueline Close, a geriatrician based at Prince of Wales Sydney discuss their newly published research titled “Adherence to clinical care standards and mortality after hip fracture surgery in New South Wales, 2015–2018: a retrospective population-based study”.The ACSQHC hip fracture care clinical care standard comprises seven quality statements supported by 16 quality indicators. This study looked at the impact of adherence to these standards on mortality for patients with hip fracture. You can find the full study here in the Medical Journal of Australia.

Send us Fan MailIn this episode, Professor Rebecca Mitchell and Dr Hannah Seymour discuss the work they led in partnership with international colleagues from the Fragility Fracture Network on consensus statements developed to aid clinicians in their decision-making and to reduce practice variations in the management of patients with hip fracture  taking direct oral anticoagulants.For the full article:Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statementhttps://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226?af=RFor more information on the upcoming ANZHFR Sprint Audit, email [email protected]

Send us Fan MailProfessor Jacqui Close, Registry Co-Chair and Geriatrician at Prince of Wales Hospital, along with Dr Phil Black, Anaesthetist at Prince of Wales Hospital share the results of the ANZHFR Preoperative Fasting Sprint Audit and the implementation of Sip Til Send at Prince of Wales.Resources:Kluger MT, Culwick MD, Moore MR, Merry AF. Aspiration during anaesthesia in the first 4000 incidents reported to webAIRS. Anaesthesia and Intensive Care. 2019;47(5):442-451. doi:10.1177/0310057X19854456The video recording of Professor Close's presentation on the Preoperative fasting sprint audit at the Binational Hip Fest can be found at: https://www.youtube.com/watch?v=Y1kadcg2Hz4The podcast with Dr Matthew Checketts, Consultant Anaesthetist, titled Sip Til Send can be found at: https://hipcast.buzzsprout.com/1739857/10350612For further information on the Sprint Audit, go to: https://anzhfr.org/sprintaudits/Sip Til Send Resources: Prince of Wales and Sydney/Sydney Eye Hospital. See Shared hospital resources at https://anzhfr.org/resources/

Send us Fan MailProfessor Xavier Griffin spearheads academic orthopaedics at Queen Mary University London and Barts Health, having joined as the inaugural chair of Bone & Joint Health. Professor Griffin's vision is for world class excellence in research and clinical academic training; providing opportunity for the next generation of clinician scientists to realise their aspirations. Professor Griffin presented at ANZHFR's 2022 Binational Hip Festival in Melbourne, Australia on quality of life after hip fracture. We are pleased to provide his presentation in podcast format.The open access publication mentioned early in the podcast can be found at:https://boneandjoint.org.uk/article/10.1302/0301-620X.103B5.BJJ-2020-1839.R1(Reference: Griffin XL, Achten J, Parsons N, Costa ML, On behalf of the WHiTE collaborators. Does performance-based remuneration improve outcomes in the treatment of hip fracture?. Bone Joint J. 2021;103-B(5):881-887. doi:10.1302/0301-620X.103B5.BJJ-2020-1839.R1)The video recording of the presentation can be found at: https://www.youtube.com/watch?v=dLdbb-RnYgk All recorded sessions from the ANZHFR 2022 Binational Hip Fest are available on our website: https://anzhfr.org/hipfest2022/ 

Send us Fan MailOn this episode, join episode host James Wright, Registered Nurse and ANZHFR Project Manager, and guest Nicola Ward, NZ Hip Fracture Registry Coordinator and Clinical Nurse Specialist for the Fracture Liaison Service at Tauranga Hospital, NZ  to hear some nursing tips for caring for people after hip fracture.

Send us Fan MailDr Richard Kjar, Director of Orthopaedics, Ms Lisa Gephart, Clinical Nurse Consultant Acute Pain Service and Ms Megan Gilbert, Hip Fracture Clinical Specialist discuss the journey to implement the ANZHFR at Northeast Health Wangaratta in Victoria, Australia.View the hospital's innovative NHW Hip Fracture Pathway - Staff awareness - Tik Tok type reel   

Send us Fan MailCaroline Miller is a Consumer Representative on the New Zealand Implementation Committee of the Hip Fracture Registry.  Caroline has a lived experience of hip fracture and spoke at New Zealand's Hip Festival in Wellington in September 2022. Tune in to hear her advice to health professionals working in hip fracture care.

Send us Fan MailOn this episode, join physiotherapist and ANZHFR project officer Karen Lee, Professor Cathie Sherrington from The University of Sydney, and physiotherapists Mr Brett Baxter from Princess Alexandra Hospital, Brisbane and Ms Rebecca Ferrier from The Prince Charles Hospital, Brisbane as they share their Hip Tips from Physiotherapy.To summarise for our listeners, the Top Tips for Physiotherapy are:1. Physiotherapy intervention early and as intense as possible.2. Coordinated care is best. Look for opportunities to mobilise your patients3. Enhance hip fracture recovery after discharge from hospital4. Take care with progressing patients with hemiarthroplasty fixation performed via a lateral approach5. The latest evidence tells us physio expertise is valuable after hip fracture including in the post-discharge phaseRecommended Resources:-          https://australian.physio/inmotion/physiotherapy-and-fractured-neck-femur-          Cochrane Review coming soon-          Hip4Hips RCT-          BOOST Study-          ANZHFR Acute Rehabilitation Sprint AuditPlease contact Ms Rebecca Ferrier via [email protected] to  find out more about The Prince Charles Hospital physio led hip fracture post-surgical review clinic.

Send us Fan MailThis podcast episode is hosted for the ANZHFR by former Registry Manager, Elizabeth Armstrong. On this episode, Elizabeth discusses with Dr Irewin Tabu the development and implementation of the Multicenter Implementation of Orthogeriatrics and a Fracture Liaison Service for Older People who have sustained a Hip Fracture. Dr Irewin Tabu is a Consultant in the Department of Orthopaedics at the University of the Philippines - Philippine General Hospital in Manila, and is Lead Investigator for the project which kicked off on the 1st April this year. The project launch meeting can be found at: https://www.ffnphil.org/frameworkforasustainabledigitalhealthregistryThe APFFA Hip Fracture Registry toolbox can be found at https://apfracturealliance.org/hfr-toolbox/ REDCap is a secure web application for building and managing online surveys and databases. For more information go to https://www.project-redcap.org/  

Send us Fan MailJoin dietetics Dr Jack Bell from The Prince Charles Hospital, Kathryn Kane from Christchurch Hospital and Alexandra Fuller from The Wollongong Hospital as they share their top tips on optimising nutrition care of hip fracture using the SIMPLER approach.

Send us Fan Mail Do you know what it’s like to undergo hip replacement surgery? James Wright, a registered nurse at the ANZHFR discusses the consumer experience of hip fracture replacement surgery patient and clinician Kristina Stiles.

Send us Fan MailJoin registered nurse from ANZHFR James Wright as he hears about the acute journey of the hip fracture patient through the perspective of a loved one. Daughter Miranda Smith shares her recent lived experience of caring for her dad Barry's experience with hip fracture recovery. 

Send us Fan MailThis podcast episode is hosted by the Co-Chair of the Asia Pacific Fragility Fracture Alliance, geriatrician Dr Hannah Seymour from Fiona Stanley Hospital in WA. On this episode, Dr Seymour discusses the Hip Attack Trials with principal investigator Dr Flavia Borges. Dr Borges is an Internist and Assistant Professor in the Department of Medicine, and in the Perioperative Care Division at McMaster University. She is also an Investigator at the Population Health Research Institute, Hamilton, Canada. 

Send us Fan MailOn this Hip Tips episode, join ANZHFR co-chair and orthopaedic surgeon Dr Catherine McDougall and orthopaedic surgeons Dr Chris Wall Toowoomba Base Hospital & Dr Ruth Varrall from Rockhampton Base Hospital as they share their top tips for optimising care for patients with hip fracture from an orthopaedic perspective.Recommended Resources:1. Toowoomba Base Hospital: Rural NOF Pathway2. The Health Investigators: Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture3. AOANJRR: Hip Knee & Shoulder Arthroplasty Annual Report 20214. British Orthopaedic Association (not Hip Society):  Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture5. Fernandez et al, NEJM:  Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture

Send us Fan MailOn this episode is Dr Mitchell Sarkies, a NHMRC Emerging Leadership Fellow from the Institute of Health Innovation at Macquarie University shares the upcoming plans for the ANZHFR Sprint Audit in acute rehabilitation.Suggested references:1. ANZHFR Sprint Audit page2. Chartered Society of Physiotherapy: The national physiotherapy hip fracture sprint audit3. ANZHFR March NewsletterPlease contact our Australian Registry Manager Jamie Hallen on [email protected] if your site would like to take part in this ANZHFR Sprint Audit. Please note that due to the QLD Public Health Act requirement, QLD-based hospitals are not able to participate in the patient-level audit. 

Send us Fan MailWelcome to our new Hipcast series "Hip Tips" providing you with tips from experts in hip fracture care.On the episode, join ANZHFR co-chair and orthogeriatrician Prof Jacqueline Close & geriatrician Dr Sarah Hurring as they share their top tips for optimising care for patients with hip fracture from a geriatrics perspective.Please see below for the list of resources mentioned:1. ANZHFR Annual Report 20212. ANZHFR Sprint Audit summary page3. ANZHFR Bone Protection Medication Sprint Audit4. ANZHFR Nutrition Sprint Audit5. Association of Anaesthetists of Great Britain & Ireland: Guideline for the management of hip fractures 20206. Hipcast: Sip Til Send with anaesthetist Dr Matthew Checketts (NHS, Scotland)

Send us Fan MailOn today’s episode, we will be talking about the "Boost Project" with senior physiotherapist Marie March from Blacktown & Mt Druitt Hospitals in the Western Sydney Local Health District. Marie is a current clinical lecturer, PhD student, researcher and casual academic at the University of Sydney. She is also the chief investigator for the "Boost Project" investigating how hospitals can deliver more frequent exercise programs for inpatients with hip fracture through an implementation science study with physiotherapists and other healthcare workers. Recommended resources:Hipcast: High Intensity Physiotherapy for Hip FracturesHIP4Hips (High Intensity Physiotherapy for Hip fractures in the acute hospital setting): a randomised controlled trialOutcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research AgendaSax Translational Research Framework

Send us Fan MailIn this, episode, consultant anaesthetic Dr Matthew Checketts from Ninewells Hospital Dundee, Scotland joins to share the initiative he’s been pioneering called the Sip Til Send policy which aims to reduce fluid fasting times for surgical patients in hospital. Anaesthetist and intensivist Dr Sean McManus from the Royal Brisbane and Women's hospital in Queensland also joins to discuss the clinical potential of this approach.For those seeking advice on implementing this policy, you can contact Dr Checketts on [email protected] access the Sip Til Send graphic, please click here.

Send us Fan MailOn this episode anaesthetist A/Prof Mark Neuman of the REGAIN trial from the University of Pennsylvania joins to discuss the recently published Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults in the New England Journal of Medicine.  Geriatrician Dr Hannah Seymour from Fiona Stanley Hospital joins to discuss clinical impact of anaesthetic choice on the outcome of patients with hip fractures. You can find the publication here: https://www.nejm.org/doi/full/10.1056/NEJMoa2113514

Send us Fan MailClinical dietitian Dr Jack Bell from Prince Charles Hospital in Brisbane and clinical nutritionist Assistant Prof Ólöf Guðný Geirsdóttir from the University of Iceland discuss the importance of interdisciplinary nutritional management and care of older adults based on their recently published open access textbook. This text is a fantastic resource to assist nursing nutritional care in particular. You can find the publication here: https://link.springer.com/book/10.1007/978-3-030-63892-4

Send us Fan MailOn this episode, Dr Hannah Seymour joins the podcast to talk about the Clinical Frailty Scale, a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition. Dr Seymour is a geriatrician based at Fiona Stanley Hospital in Western Australia and she has been researching effectiveness of employing the Clinical Frailty Scale in predicting mortality in hip fracture care.Publication: Narula, S., Lawless, A., D’Alessandro, P., Jones, C. W., Yates, P., & Seymour, H. (2020). Clinical Frailty Scale is a good predictor of mortality after proximal femur fracture: A cohort study of 30-day and one-year mortality. Bone & joint open, 1(8), 443-449.Suggested Resources:AIMS Research Group - Clinical Frailty Scale Training ModuleDalhousie University Clinical Frailty Scale Guidance and Training

Send us Fan MailOn this episode, Professor Alison Mudge joins to discuss Eat Walk Engage, a comprehensive multi-disciplinary program preventing delirium and improving care for older people in hospital.  Professor Mudge is the Clinical Lead for the Queensland statewide Eat Walk Engage program, Metro North Clinician Research Fellow and Professor of Medicine at the Royal Brisbane Clinical Unit. You can find the mentioned publication of the Eat Walk Engage program here.To find out more information on this fantastic program contact:Professor Alison Mudge: [email protected] Walk Engage: [email protected]

Send us Fan MailJoin ANZHFR research assistant Niamh Ramsay as she walks you through the new ANZHFR website and its functions.Play along by going to anzhfr.org or check out the video version of this episode here.

Send us Fan MailDr Sandra Iuliano, a senior research fellow in Endocrinology from the University of Melbourne, shares  the results of her study The Effect of Dietary   on how adequate calcium & protein intake can reduce falls & fractures in aged care residents. Iuliano, S., Poon, S., Robbins, J., Bui, M., Wang, X., De Groot, L., ... & Seeman, E. (2021). Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trial. bmj, 375.You can find this British Medical Journal publication  here.

Send us Fan MailJoin co-chairs Prof Jacqui Close, Prof Ian Harris & Catherine McDougall and Australian Registry Manager Jamie Hallen as we review 2021 and discuss the plans to come. A big thank you to our listeners for supporting our podcast and mission to improve hip fracture care.

Send us Fan MailPrincess Alexandra took out the ANZHFR 2021 Australian Golden Hip Award this year, and on this episode, their Orthopaedic Clinical Nurse Consultant Naomi O'Rourke shares an insight into how their department has become a top performing Australian hospital in hip fracture care.  

Send us Fan MailOn this episode, Geriatrician Dr Min Yee Seow from Waitemata District Health Board provides an insight into hip fracture care at North Shore Hospital.  Waitemata’s North Shore Hospital was the ANZHFR 2021 New Zealand Golden Hip Award winner, so tune in to hear their secrets to success as a top performing hospital in Australia in hip fracture care . 

Send us Fan MailA recent Hipfest presentation by Dr Sharon Carey on pre-operative fasting in the person with a hip fracture. Dr Carey is the Head of Nutrition and Dietetic & Director of Allied Health Research and Education, Institute of Academic Surgery at Royal Prince Alfred Hospital.Thank you to Dr Jack Bell for his introduction of Dr Carey for the episode and for leading the Q&A session following the talk.

Send us Fan MailA recent Hipfest panel discussion around the early mobility of patients following hip fracture surgery. Physiotherapist Brett Baxter leads the multidisciplinary discussion with anaesthetics, surgery, physiotherapy and nursing representatives discussing the barriers to achieving early mobilisation post-operatively for patients with hip fracture.The video can be watched here

Send us Fan MailDr Seth Tarrant, an orthopaedic surgeon for the John Hunter Trauma Service, provides an overview of the evidence for the use of tranexamic acid acid in hip fracture surgery. This is followed by a Q&A with orthopaedic surgeon Dr Catherine McDougall.Watch the video version here. Highlighted studies:1. Palija, S., Bijeljac, S., Manojlovic, S., Jovicic, Z., Jovanovic, M., Cvijic, P., & Dragicevic-Cvjetkovic, D. (2021). Effectiveness of different doses and routes of administration of tranexamic acid for total hip replacement. International orthopaedics, 45(4), 865-870.2. Gayet-Ageron, A., Prieto-Merino, D., Ker, K., Shakur, H., Ageron, F. X., Roberts, I., ... & Pepple, T. (2018). Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients. The Lancet, 391(10116), 125-132.3. Zufferey, P. J., Miquet, M., Quenet, S., Martin, P., Adam, P., Albaladejo, P., ... & investigators of the tranexamic acid in hip-fracture surgery (THIF) study. (2010). Tranexamic acid in hip fracture surgery: a randomized controlled trial. British Journal of Anaesthesia, 104(1), 23-30.4. Tengberg, P. T., Foss, N. B., Palm, H., Kallemose, T., & Troelsen, A. (2016). Tranexamic acid reduces blood loss in patients with extracapsular fractures of the hip: results of a randomised controlled trial. The bone & joint journal, 98(6), 747-753.5. Zhou, X. D., Zhang, Y., Jiang, L. F., Zhang, J. J., Zhou, D., Wu, L. D., ... & Xu, N. W. (2019). Efficacy and Safety of Tranexamic Acid in Intertrochanteric Fractures: A Single‐Blind Randomized Controlled Trial. Orthopaedic surgery, 11(4), 635-642.6. Haj-Younes, B., Sivakumar, B. S., Wang, M., An, V. V., Lorentzos, P., & Adie, S. (2019). Tranexamic acid in hip fracture surgery: a systematic review and meta-analysis. Journal of Orthopaedic Surgery, 28(1), 2309499019887995.7. Nikolaou, V. S., Masouros, P., Floros, T., Chronopoulos, E., Skertsou, M., & Babis, G. C. (2021). Single dose of tranexamic acid effectively reduces blood loss and transfusion rates in elderly patients undergoing surgery for hip fracture: a randomized controlled trial. The Bone & Joint Journal, 103(3), 442-448.8. Ma, H., Wang, H., Long, X., Xu, Z., Chen, X., Li, M., ... & Liu, X. (2021). Early intravenous tranexamic acid intervention reduces post-traumatic hidden blood loss in elderly patients with intertrochanteric fracture: a randomized controlled trial. Journal of Orthopaedic Surgery and Research, 16(1), 1-7.9. You, D., Skeith, L., Korley, R., Cantle, P., Lee, A., McBeth, P., ... & Schneider, P. (2021). Identification of hypercoagulability with thrombelastography in patients with hip fracture receiving thromboprophylaxis. Canadian Journal of Surgery, 64(3), E324.Dr Seth Tarrant can be contacted via  sethtarr

Send us Fan MailProfessor David Scott Anaesthetist and Director of the Department of Anaesthesia and Acute Pain Medicine at St Vincent’s Hospital Melbourne discusses his research in anaesthesia and delirium from the BALANCED Delirium study recently published in the British Journal of Anaesthesia.The study publication can be found here: https://www.sciencedirect.com/science/article/pii/S0007091221004931?dgcid=author

Send us Fan MailDr Catherine McDougall, Orthopaedic Surgeon and Clinical Director of Surgery at STARS in Metro North Brisbane and  Co-Lead of the Getting It Right The First Time (GIRFT) program shares the achievements  of the program in hip fracture care in Queensland.Click the link for more information: UK: https://www.gettingitrightfirsttime.co.ukQLD: https://clinicalexcellence.qld.gov.au/priority-areas/service-improvement/girft

Send us Fan MailA/Prof Mellick Chehade, an Orthopaedic Trauma Consultant from Adelaide, discusses his work developing digital healthcare  for patients with hip fractures.Click here for more information: https://www.who.int/bulletin/volumes/98/8/19-249136.pdfIf you wish to find out more, please find A/Prof Chehade's contact details here: https://researchers.adelaide.edu.au/profile/mellick.chehadeCentre for Research Excellence in Frailty and Healthy Ageing: https://health.adelaide.edu.au/frailty-healthy-ageing/