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Who is responsible for do not resuscitate status in patients with broken hips?

BMJ 2007; 334 doi: (Published 18 January 2007) Cite this as: BMJ 2007;334:155
  1. Rahij Anwar, specialist registrar RahijAnwar@aol.com1,
  2. Azeem Ahmed, senior house officer, West Middlesex University Hospital2
  1. 1South East Thames Region
  2. 2Middlesex

    Hip fractures are on the rise in the ageing population of our country. It has been estimated that about 30-40% of these patients die within the first year. Although actual perioperative causes of mortality are difficult to ascertain, it is generally believed that a vast majority of early deaths occur due to medical conditions such as chest infection and fluid and electrolyte imbalance. Better outcomes have been reported in centres where the management of these patients is carried out jointly under the medical and orthopaedic teams. However, lack of resources, poor co-ordination between the orthopaedic surgeons and medical teams, and ever increasing patient load often affect the quality of treatment that these frail patients deserve.

    When elderly patients with hip fractures become acutely unwell during the perioperative care and …

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