Using national hip fracture registries and audit databases to develop an international perspective

Antony Johansen, David Golding, Louise Brent, Jacqueline Close, Jan-Erik Gjertsen, Graeme Holt, Ami Hommel, Alma B. Pedersen, Niels Dieter Röck, Karl Göran Thorngren

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

48 Citeringar (SciVal)

Sammanfattning

Hip fracture is the commonest reason for older people to need emergency anaesthesia and surgery, and leads to prolonged dependence for many of those who survive. People with this injury are usually identified very early in their hospital care, so hip fracture is an ideal marker condition with which to audit the care offered to older people by health services around the world.We have reviewed the reports of eight national audit programmes, to examine the approach used in each, and highlight differences in case mix, management and outcomes in different countries.The national audits provide a consistent picture of typical patients - an average age of 80 years, with less than a third being men, and a third of all patients having cognitive impairment - but there was surprising variation in the type of fracture, of operation and of anaesthesia and hospital length of stay in different countries.These national audits provide a unique opportunity to compare how health care systems of different countries are responding to the same clinical challenge. This review will encourage the development and reporting of a standardised dataset to support international collaboration in healthcare audit.

Originalspråkengelska
Sidor (från-till)2174-2179
TidskriftInjury
Volym48
Utgåva10
DOI
StatusPublished - 2017

Ämnesklassifikation (UKÄ)

  • Ortopedi

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