896 Improving Intravenous Fluid Therapy to Reduce the Incidence of Acute Kidney Injury in Hip Fracture Patients

Abstract Background Acute kidney injury (AKI) in hip fracture patients is associated with morbidity, mortality, and increased length of stay. To avoid this our unit policy recommends maintenance crystalloid IV fluids > 62.5mL/Hr for patients. Method Three prospective audits, each including 100 consecutive acute patients, were completed interventional measures employed between cycle. Data collection points included details fluid administration pre/post-operative presence AKI. Interventions cycles implementation admission/post-take checklist tools various educational Emergency Department, nursing admitting team staff dissemination infographic posters, respectively. Results In cycle one two, many received inadequate (46/100 56/100 respectively). There was no significant difference the incidence AKI receiving adequate or either (p < 0.05). three, more (79/100, p Patients prescribed less likely to develop post-operative (2/79, 2.5% vs 3/21, 14.3%; Discussion This audit demonstrates importance administering appropriate Improving coordination Department ward nursing/medical a critical step improving unit’s adherence policy.