<p dir="ltr">This thesis has focused on clinically relevant aspects of hip fracture care that may be able to reduce mortality. It has defined the current fragility fracture and hip fracture care systems that exist in modern day Australia whilst contrasting them to other Asia Pacific nations. It has shown that elements of preventable mortality exist in hip fracture care. It has determined that acute myocardial infarct with clinical diagnosis has reduced mortality in pre-fracture statin use. Delaying surgery for the essentially irreversible blood thinner classes of direct oral anticoagulants and dual antiplatelet agents does not translate into better outcomes for the patient. Immediate weight-bearing for hip fractures does not appear to translate into reduced mortality however the opportunity for day 1 mobilisation post-surgery can prevent excess mortality. These peer-reviewed findings can assist the optimal delivery of hip fracture care.</p>
History
Year awarded
2025
Thesis category
Doctoral Degree
Degree
Doctor of Philosophy (PhD)
Supervisors
Attia, John (University of Newcastle); Balogh, Zsolt (University of Newcastle)