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3rd Irish Hip Fracture Meeting 6th March 2015
3RD IRISH HIP FRACTURE MEETING
PROGRAMME
6TH MARCH 2015
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3rd Irish Hip Fracture Meeting 6th March 2015
3RD IRISH HIP FRACTURE MEETING - 6TH MARCH 2015
O’FLANAGAN LECTURE THEATRE, RCSI, ST. STEPHEN’S GREEN DUBLIN 2
09.00
Registration Tea / Coffee
Chair: Mr Paddy Kenny
President of the Irish Institute for Trauma and Orthopaedic Surgery
09.30
Dr Colm Henry
National Clinical Advisor and Programme Lead, for Acute Hospitals
Welcome Address
09.45
Dr Colin Currie (Keynote)
Geriatrician UK / Scotland, President of FFN
Hip Fracture Audit - the first 25 years:
from collecting data to saving lives
10.15
Dr Emer Ahern, Clinical Geriatric Lead IHFD
Deirdre Burke, NOCA
Presentation of The IHFD Data
NOCA Governance of IHFD
10.45
Phil Dunne
Health Care Pricing Office
What’s New With The Dataset
11.10
Tea / Coffee and viewing of Stands / Posters
Chair: Catherine Farrell
Trauma and Orthopaedic Clinical Programme Manager
11.30
Dr Richard Griffiths
Anaesthetist
Challenges Anesthetising Hip
Fracture Patients
12.00
Dr Bernie McGowan
Researcher, Trinity College Dublin
Fracture Trends in Ireland
12.30
Louise Brent
Lead Nurse, Trauma & Orthopaedic Programme
The National ICP for Hip Fractures
13.00
Top Five Poster Presentations
13.30
Lunch and viewing of Stands / Posters
Chair: Dr Josie Clare
Orthogeriatrician, Cork University Hospital
14.30
Dr John Carey
Consultant Rheumatologist, GUH
Treatment of Osteoporosis
15.00
Mr Finbarr Condon, Orthopaedic Surgeon
Ms. Audrey Butler, Orthopaedic CNS
Improving Fracture Care…. The UHL
Experience
15.30
Margaret Boland
Director of Scheduled Care, Peri-operative & Diagnostic, SVUH
Implementing Change
16.00
Karen Hertz,
UK ANP Orthopaedics
Nurse Led Hip Fracture Unit
16.30
Mr Conor Hurson
Clinical Orthopaedic Lead, IHFD
Closing Address
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NOCA National Office of Clinical Audit
BIOGRAPHIES
Dr Colm Henry
Dr Colm Henry is National Clinical Advisor and Programme Lead for Acute
Hospitals in the HSE. Prior to this appointment, he was National Lead for the
Clinical Director Programme from 2012 to 2014 and Clinical Director of the Mercy
University Hospital in Cork from 2009 to 2012.
He was appointed as Consultant Geriatrician to the same hospital in 2002.
Dr Colin Currie
Dr Colin Currie is a Senior Lecturer in Geriatric Medicine at Edinburgh University
and an ortho-geriatrician in the Royal Infirmary of Edinburgh from 1979 to 2010,
Dr Currie worked on the development and evaluation of services for older trauma
patients; developed the Scottish Hip Fracture Audit and led it from 1993 to 2004;
served as deputy coordinator of the 1996-1999 EU-funded Standardised Audit of
Hip Fracture in Europe (SAHFE) project; and co-chaired the guideline development
groups for the 2002 SIGN Guideline on hip fracture care and its 2009 update.
From 2004 to 2013 he was closely involved in the work of the NHFD: as Lead
Clinician (Geriatric Medicine); as editor of the 2007 BOA/BGS Blue Book on the
Care of Patients with Fragility Fracture; as chair of the NHFD’s Implementation
Group, its Dataset Sub-Group, and its Scientific and Publications Committee.
He is currently leading the Hip Fracture Audit Special Interest Group of the
international Fragility Fracture Network, which aims to promote the wider use of hip
fracture audit via the FFN Hip Fracture Audit Database.
From 2008 to 2010 he served as a Special Adviser in the Prime Minister’s Policy Unit
in Downing Street, working on policy for the health and social care of older people.
Dr Emer Ahern
Dr Emer Ahern is currently the Clinical Geriatric Lead for the IHFD. Emer completed
her specialist training and was appointed Consultant Orthogeriatrician in Royal
Liverpool University Hospital in 2004. Emer is currently working in St Luke’s General
Hospital Kilkenny and provides orthogeriatric service to trauma unit in University
Hospital Waterford.
Deirdre Burke
Deirdre Burke. Building on her extensive past experience in health care delivery,
Deirdre joined the National Office of Clinical Audit in January 2014 to support
Fiona Cahill and the NOCA audit team in establishing sustainable clinical audit
streams. Deirdre works closely with the IHFD clinical leads to ensure consistent
structures are maintained and is a member of their Governance Committee and
Steering Group and provides structured supports for IHFD Data Coordinators.
Deirdre has been appointed as Audit Coordinator for the IHFD and also provides
support to Comparative Audit of Hospital Mortality (CAHM).
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3rd Irish Hip Fracture Meeting 6th March 2015
Philip Dunne
Philip Dunne works in the Healthcare Pricing Office (HPO) as a Web Developer /
Technical Support Agent. Phil is a holder of a Bachelor of Engineering in Telecoms
(DCU 2002), a MBS in E-Commerce (UCC 2005) and a Postgraduate Diploma in
Statistics (Trinity College 2008). Phil is part of a team of five programmers at the
HPO who develop, support and maintain the HIPE Portal. The HIPE Portal is a webbased system, designed to collect demographic, clinical and administrative data on
discharges and deaths from acute hospitals nationally. The HIPE Portal is programmed
in Microsoft VB.NET, and incorporates MS SQL Server as its database. The HIPE Portal
also uses AJAX (Asynchronous JavaScript and XML) to enhance the user interface.
The HIPE Portal allows for the collection of additional “add-on” data, such as data
related to hip fractures. The relevant clinical team has responsibility for the “add-on”
data, and is not keyed or validated by the HIPE Coders. This “add-on” data is then
compiled into a national dataset, such as the Irish Hip Fracture Database (IHFD).
Dr Richard Griffiths
Dr Richard Griffiths qualified from St Thomas’ Hospital Medical School, University
of London in 1984. Postgraduate training was completed in Nottingham, Leicester
and San Francisco. Consultant in Peterborough & Stamford since 1995, and has
had an interest in hip fracture since teaming up with a remarkable surgeon, Martyn
Parker. He founded the NHS Hip Fracture Perioperative Network in 2007, was a
member of NICE 124 (proximal femoral fractures), chaired the AAGBI working
parties on hip fracture (2012) and Surgery and the Elderly (2014).
Devised, with Stuart White, Iain Moppett and Colin Currie The Anaesthesia Sprint
Audit of Practice (ASAP) study in collaboration with the National Hip Fracture
Database.
He was awarded, along with Stuart White, the Dudley Buxton Medal, by the Royal
College of Anaesthetists in 2014.
Dr Bernie McGowan
Dr Bernie McGowan has worked as a research assistant and research fellow at
the National Centre for Pharmacoeconomics (1998-2007) and the department of
Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St. James’s
Hospital (2007-2011) respectively. She has an MSc in research through the
department of pharmacology and Therapeutics, TCD and was lead researcher
on a HRB funded project on the clinical and economic aspects of the present
management of osteoporosis in Ireland (2008-2011). The results of this project
have been published in 6 national and international peer reviewed journals. Since
October 2011 she has been working as research co-ordinator at The North Western
Rheumatology Unit, Manorhamilton, Co Leitrim co-ordinating audits and research
projects within the department and collaborating on research projects externally.
Louise Brent
Louise Brent works in University Hospital Waterford (UHW) as the Arthroplasty/
Fragility Fracture Coordinator. She collects the data for the IHFD in UHW. Since
December 2013 she is the Lead Clinical Nurse for the Trauma and Orthopaedic
programme and the Clinical Nursing Lead for the IHFD.
She holds an MSc in Nursing from University College Cork and is a registered
nurse prescriber of medication and ionising radiation. She presents nationally
and internationally on hip fracture care. She is an active member in the Irish
Orthopaedic Nurses Society, the International Collaboration of Orthopaedic Nurses
and a member of the INOR / IHFD Clinical Governance Committee. Her main
interests are hip fracture care, fragility fracture prevention, osteoporosis and falls
prevention and management.
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NOCA National Office of Clinical Audit
Dr John Carey
Dr John Carey is a Consultant Physician in Rheumatology and Medicine at Galway
University Hospitals, and Clinical lecturer in Medicine, National University of
Ireland, Galway. He is medical graduate of University College Dublin Medical
School (MBBChBAO), and has a Masters Degree in Clinical Research from Case
Western Reserve University, Cleveland, Ohio USA (MS). Dr. Carey completed
his postgraduate training in medicine, rheumatology and clinical research at
Boston University Medical Centre, Massachusetts, USA and The Cleveland Clinic,
Cleveland, Ohio, USA. He has a subspecialty interest in osteoporosis and serves
on several committees for the International Society for Clinical Densitometry
and is chair of the ISCD Publications Committee and organising committee for
Ireland’s annual ISCD bone densitometry course. His clinical research focuses on
osteoporosis, musculoskeletal imaging and patient care pathways.
Dr Finbarr Condon
Dr Finbarr Condon graduated from UCC in 1992, did his basic and higher surgical
training primarily in Dublin, but with extended training periods spent in Limerick,
Cork, Vancouver and Siberia. He took up a Trauma and Orthopaedic consultant
post in the HSE Mid-West after specialising on fellowship, in 2004. His specialty
interests include primary and revision hip and knee replacement as well as complex
limb lengthening, deformity correction and limb reconstruction using Ilizarov
external ring fixating techniques. Finbarr is a Council member of the Irish Institute
of Trauma and Orthopaedic Surgery (IITOS) and the Training Programme Director
for Trauma and Orthopaedic surgery at the RCSI.
Dr Margaret Boland
Dr Margaret Boland is currently the Director of Scheduled Care operations in
the Peri-operative and Diagnostic Directorate in St Vincent’s University Hospital,
Dublin IEHG (South). She works closely with the Directors of Surgery, Radiology
and Pathology alongside the Multidisciplinary Teams. Collectively they support
the Quality and Patient Safety agenda in SVUH meeting transparent clinical and
corporate governance requirements. This role encompasses the development
of clinical operations in the directorate for SVUH as a Level 4 Major academic
teaching hospital.
Margaret has played a pivotal role in developing and leading in Clinical Services
within St Vincent’s University Hospital across the scheduled and unscheduled care
operations. This ensures that the right patient is seen by the right HCP at the
right time and in the right place. Her role involves working across Ireland East and
the DAMC, where she fosters a partnerships approach within the hospital group
to improve and sustain excellence in clinical care. Her success is exemplified by
improvements in: outreach clinics, bi-directional flow with all partner hospitals,
multi-disciplinary team approach across all specialities, sharing skills and enhancing
the service for patients
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3rd Irish Hip Fracture Meeting 6th March 2015
Karen Hertz
Karen Hertz is an Advanced Nurse Practitioner (ANP) at University Hospital of North
Midlands, Royal Stoke Site. She has worked in a variety of different nursing roles in
Trauma and Orthopaedics, but is currently employed as an ANP on the trauma unit,
working predominantly with hip fracture patients.
Karen is a committee member of the RCN Society of Orthopaedic and Trauma
Nurses and represent this group on the International Collaboration of Orthopaedic
Nurses, whose aim is the development and sharing of best practice in orthopaedic
nursing globally.
Karen has been actively involved in the evolvement of Hip Fracture care in the UK,
and has had the opportunity in participating in the authoring group of the BOA/
BGS Blue Book on Fragility Fracture Care, being the Nurse representative on the
UK NHFD steering group since 2007, and been a member of the NICE guideline
development group for the management of Hip Fracture Care.
Mr Conor Hurson
Mr Conor Hurson is a Consultant Orthopaedic Surgeon based in St. Vincent’s
University Hospital, St. Michael’s Hospital and Cappagh National Orthopaedic
Hospitals. His subspeciality interests include trauma, hip and knee replacement
and sports knee. He graduated from University College Dublin in 1999, completed
his internship in St. Vincent’s University Hospital and underwent basic and
higher surgical training through RCSI. He was successful in the FRCS (Trauma
& Orthopaedics) exams in 2008 and completed the Irish Specialist Training
Programme in Orthopaedic Surgery in 2009.
Conor holds a position of Clinical Lecturer in the School of Medicine in UCD and is
very involved in education and teaching. He has published widely in orthopaedics
with many international publications and a number of book chapters.
He is the lead Orthopaedic Surgeon for the Irish Hip Fracture Database and the
National Hip Fracture Integrated Care Pathway Steering Group.
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NOCA National Office of Clinical Audit
ORAL PRESENTATIONS - TOP 5 ABSTRACTS
8
Title
Author
Speaker
Institution
Compliance With
Osteoporosis
Medications Among Patients
Attending a Fracture Liaison
Service in South-East Ireland
O’Gradaigh D, Fox M
Gillian Fitzgerald
Dept of Rheumatology /
Fracture Liaison Service
& Dept of Orthopaedics,
University Hospital Waterford
Pre-hip fracture history in a
database cohort – a guide
to improving targeted risk
reduction
O’Gradaigh D, Fox M,
Brent L
Donncha O’Gradaigh
Dept of Rheumatology /
Fracture Liaison Service
& Dept of Orthopaedics,
University Hospital Waterford
Seasonal trends in
orthopaedic trauma: key
performance indicators
Linton KN 1,2, McDaniel D,
Bass GA, Sayana MK, and
Zubovic A
Kenneth Linton
1.
Current Anaesthetic Practices
in the management of
hip fracture in St Vincents
University (SVUH) compared
to the ASAP
Mary Moore
Mary Moore
St Vincents University
Hospital, Dept of Trauma and
Orthopaedics
“Super-spell” Length of Stay
for Hip Fracture Patients in
Cork
Dr. Anne O’Mahony,
Prof James Harty,
Dr. Josie Clare
Dr. Anne O’Mahony
Cork University Hospital
Department of Orthopaedic
Surgery, Our Lady of Lourdes
Hospital, Drogheda
2.
Department of Surgery,
Royal College of Surgeons in
Ireland, Dublin
3rd Irish Hip Fracture Meeting 6th March 2015
POSTER PRESENTATIONS
Stand No. Title
Author
Institution
1
Time spent in the Mater hospital
and subsequent time in the Active
Rehabilitation unit post hip fracture
in patients over 65
Alice Conlon, Siobhan Forman,
Eoin Keating, Dermot Power,
Claire Reynolds
Cappagh National Orthopaedic
Hospital, Dublin 11
2
Improvements in Length of stay
following the introduction of a daily
multi-disciplinary team meeting
Breda O’Leary, Orla Russell,
Meg Jackson, Fathima Cassimjee,
Kay McGrath, Sonya Cotter,
Dr. Anne O’Mahony,
Prof James Harty, Dr.Josie Clare
Cork University Hospital
3
Predicting mortality following hip
fracture
Carla Henderson1,
Ailish Hannigan1,
Jude Ryan2
1
4
“The Fall Guys”
Charlotte Hannon, Alva Efondo,
Denise O’Leary, Ellen Davey
Sligo Regional Hospital
5
Audit on perioperative pain in
elderly hip fracture patients at
University Hospital Waterford.
Cillian Suiter
University Hospital Waterford,
Department of Anaesthesia
6
Audit of Protocol for Bone
Protection after Hip Fracture
Clare McCloskey, Roseann
Department of Orthopaedic
O’Doherty, Sean Owens,
Surgery and DXA Unit, St. Vincent’s
Susan van der Kamp, Conor Hurson, University Hospital, Dublin
Malachi McKenna
7
Dedicated orthogeriatric service
reduces hip fracture mortality
CY Henderson (MSc)1,
E Shanahan (MRCPI)2,
A Butler (RGN)3,
B Lenehan (MSc)3,
M O’Connor (MRCPI) 2,
D Lyons (MD) 2,
JP Ryan (MD)2.
1
8
Reducing the risk of injurious falls in
an ageing population
Daragh Rodger
Anne Spencer
HSE, St Mary’s Hospital. Phoenix
Park. PETAL
9
Comparing standards of hip fracture
care in University college hospital
Galway with the UK and Irish hip
fracture database.
Dr E Umana, MD,
Mr DE O’Briain FRCS (Tr & Orth),
Mrs C Armstrong,
Mr FJ Shannon FRCS (Tr & Orth)
Galway University Hospitals
10
An audit examining inpatient times
with regard to time to theatre, time
spent in ED and overall length of
stay
Dr Eanna Mac Suibhne,
Dr Louise Gleeson, Dr Deirdre
Breslin, Dr Brendan Leahy,
Louise Brent, Dr Des Fitzgerald
Waterford University hospital
11
When do Hip fractures present to
Dr. Josie Clare, Prof James Harty.
ED? Data collection to help develop
a Fast Track hip fracture service
Cork University Hospital
12
Hyponatraemia Is a Risk Factor For
Hip Fractures
E. Pomeroy, F. Rowan,
C. Harrington, T. Coughlan,
J. McElwain
Department of Trauma &
Orthopaedics, AMNCH, Tallaght,
Dublin 24
13
Prospective clinical audit into pre
and post-operative morbidity of hip
fracture patients in UHL.
Eilis Fitzgerald
GEMS, UL
Graduate Entry Medical School
University of Limerick 2Department
of Medicine Division of Geriatrics
University Hospital Limerick
Graduate Entry Medical School
University of Limerick 2Department
of Medicine Division of Geriatrics
University Hospital Limerick
3
Department of Trauma and
Orthopaedics University Hospital
Limerick
9
NOCA National Office of Clinical Audit
POSTER PRESENTATIONS
14
Pre-Fracture morbidity and its
role in predicting post-operative
outcomes among elderly hip
fracture patients
Eilis Fitzgerald
GEMS, UL
15
Dedicated Orthogeriatric Service
Saves the HSE a Million Euro
Elaine Shanahan
University Hospital Limerick
16
A retrospective assessment of
secondary fracture prevention in
a vulnerable patient population
as assessed in the rehabilitation
setting.
Eoin Keating, Claire Reynolds,
Alice Conlon, Siobhan Forman,
Dermot Power
Active Rehabilitation Unit (ARU),
Cappagh National Orthopaedic
Hospital (CNOH), Finglas,
Dublin 11
17
Predictors of mobility outcome
at one week post hip fracture
surgery: a 6 month prospective
observational cohort study
Fitzgerald M1, Blake C2, Askin D3,
Kelly M1, O Brien R N1,
Griffin E 1, Coughlan T3, Quinlan J3,
Cunningham C.2
1
18
Pathological hip fracture in a
regional trauma centre
Linton KN1,2, Darcy C, Morris P,
McDaniel D, Harrington P,
and Sayana MK
1.
19
Hip pain in the active adult female:
a missed diagnosis
Linton KN1,2, Saeed N, Sayana MK,
and Harrington P
1.
20
Mortality Rate and Associated
Factors in Older Adults following
Hip Fracture
Maher N, Steen G, Fallon N,
Browne J, Walsh JB, Casey M.
Mercer’s Institute for Research,
St. James’s Hospital, Dublin, Ireland
21
Timed up and Go as a test for
efficacy of the “Better Bones
Exercise programme”
McCarthy Persson U, Blake C,
Smith E, Cunningham C
School of Public Health,
Physiotherapy and Population
Science, University College Dublin
22
The Impact of Hip Fracture on
Mobility and Ability to Self-Care
Fifteen Months Post Fracture
N. Maher, G. Steen, N. Fallon, K.
Fitzgerald, M .Casey, JB. Walsh.
Mercer’s Institute for Research,
St. James’s Hospital, Dublin, Ireland
23
Targeting Appropriate Patients to
attend the Active Rehabilitation
Unit, Cappagh National
Orthopaedic Hospital.
Siobhan Forman; Alice Conlon,
Eoin Keating, Claire Reynolds,
Dermot Power
Cappagh National Orthopaedic
Hospital, Dublin 11
24
A Review of the Discharge
Destination of Patients with Hip
Fractures who transferred through
the Active Rehabilitation Unit in
Cappagh National Orthopaedic
Hospital.
Siobhan Forman; Alice Conlon,
Eoin Keating, Claire Reynolds,
Dermot Power.
Cappagh National Orthopaedic
Hospital, Dublin 11
25
Change in Hip Fracture
Demographics over a period of 2
Decades
Tarazi N, O’Loughlin PF, Hillery P,
Kenny P
Orthopaedic Surgery, Connolly
Hospital Blanchardstown
10
Tallaght Hospital, Physiotherapy
Department, Dublin, Ireland
2
University College Dublin, School
of Public Health, Physiotherapy and
Population Science, Dublin, Ireland
3
Tallaght Hospital, Bone and Joint
Unit, Dublin, Ireland
Department of Orthopaedic
Surgery, Our Lady of Lourdes
Hospital, Drogheda 2. Department
of Surgery, Royal College of
Surgeons in Ireland, Dublin
Department of Orthopaedic
Surgery, Our Lady of Lourdes
Hospital, Drogheda 2. Department
of Surgery, Royal College of
Surgeons in Ireland, Dublin
3rd Irish Hip Fracture Meeting 6th March 2015
NOTES
11
NOCA National Office of Clinical Audit
NOTES
12
3rd Irish Hip Fracture Meeting 6th March 2015
NOTES
13
NOCA National Office of Clinical Audit
NOTES
14
NOCA National Office of Clinical Audit
CONTACT:
Email ihfd@noca.ie
Tel 01 4028577
Visit our IHFD page on NOCA website
www.noca.ie
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