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

Johansen, Antony; Golding, David; Brent, Louise; Close, Jacqueline; Gjertsen, Jan-Erik; Holt, Graeme; Hommel, Ami; Pedersen, Alma B.; Röck, Niels Dieter and Thorngren, Karl Göran LU (2017) In Injury 48(10). p.2174-2179
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Audit, Hip fracture, International, Registry
in
Injury
volume
48
issue
10
pages
2174 - 2179
publisher
Elsevier
external identifiers
  • scopus:85028340976
  • wos:000414227500025
ISSN
0020-1383
DOI
10.1016/j.injury.2017.08.001
language
English
LU publication?
yes
id
d32c350e-6275-4081-8652-0600bdf29e6a
date added to LUP
2017-10-10 14:21:13
date last changed
2018-01-29 14:05:24
@article{d32c350e-6275-4081-8652-0600bdf29e6a,
  abstract     = {<p>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.</p>},
  author       = {Johansen, Antony and Golding, David and Brent, Louise and Close, Jacqueline and Gjertsen, Jan-Erik and Holt, Graeme and Hommel, Ami and Pedersen, Alma B. and Röck, Niels Dieter and Thorngren, Karl Göran},
  issn         = {0020-1383},
  keyword      = {Audit,Hip fracture,International,Registry},
  language     = {eng},
  number       = {10},
  pages        = {2174--2179},
  publisher    = {Elsevier},
  series       = {Injury},
  title        = {Using national hip fracture registries and audit databases to develop an international perspective},
  url          = {http://dx.doi.org/10.1016/j.injury.2017.08.001},
  volume       = {48},
  year         = {2017},
}