ArticleEmergency medicine Australasia : EMA2025
Fractured Neck of Femur Clinical Pathway Use in Tasmanian Emergency Departments: A Retrospective Study.
Article in Emergency medicine Australasia : EMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- The intent is good but… exploring barriers and enablers to clinical pathway use in regional Australian Emergency Departments.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Acute Suspected Stroke Clinical Pathway Use in Tasmanian Emergency Departments: A Retrospective Study.Emergency medicine Australasia : EMA · 2026Observational
- Fractured Neck of Femur Clinical Pathway Use in Tasmanian Emergency Departments: A Retrospective Study.Emergency medicine Australasia : EMA · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
introductionThe emergency department (ED) has a critical role in initiating early treatment for fractured neck of femur (fractured NOF). Delayed treatment is associated with adverse outcomes. The primary objective of this study was to retrospectively examine the use of a fractured NOF formal pathway document. Secondary outcomes assessed pathway compliance, impact on waiting times, and differences across Tasmanian EDs to guide local quality improvement. STUDY
designDescriptive retrospective study with random sampling of 200 fractured NOF cases across three regional hospital EDs.
resultsOf the 195 fractured neck of femur (NOF) ED presentations across three sites, 155 (79.5%) used the pathway. Nerve block administration showed a statistically significant association with pathway use, with a relative increase of +44.9% (95% CI: +15.0% to +83.0%, p < 0.000001). MiniCog screening showed a notable relative increase of +93.5% (95% CI: +1.0% to +271.0%) but did not meet the significance threshold. MiniCog assessment differed significantly between hospitals H1 versus H2 and H1 versus H3 (p < 0.00001). Goals of care completion showed some variation (p = 0.0033) but was not statistically significant. Pathway use did not significantly affect waiting times, length of stay, or representation rates. Hospital comparisons revealed significant differences in waiting times and length of stay.
conclusionsThis study suggests that pathway use was associated with significant increases in the administration of nerve blocks. Significant differences in pathway use, element completion, and associated waiting times were reported between hospitals. Findings support the pathway's role in standardising care and guiding targeted quality improvement efforts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.