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

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  • Antony Johansen, Royal Coll Physicians, Royal College of Physicians, Univ Hosp Wales, Natl Hip Fracture Database
  • ,
  • David Golding, Univ Hosp Wales, Cardiff University
  • ,
  • Louise Brent, Natl Off Clin Audit
  • ,
  • Jacqueline Close, Prince Wales Hosp, Australian & New Zealand Hip Fracture Registry, Balance & Injury Res Ctr Neurosci Res
  • ,
  • Jan-Erik Gjertsen, Univ Bergen, University of Bergen, Dept Clin Sci
  • ,
  • Graeme Holt, NHS Ayrshire & Arran
  • ,
  • Ami Hommel, Malmo Univ, Malmo University, Skane University Hospital, Lund University, Fac Hlth & Soc, Dept Orthopaed, Skane Univ Hosp,Chair Rikshoft
  • ,
  • Alma B. Pedersen
  • Niels Dieter Rock, Odense Univ Hosp, Odense University Hospital, Dept Orthoped Surg
  • ,
  • Karl-Goran Thorngren, Lund Univ, Lund University, Dept Orthopaed Surg

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. (C) 2017 Elsevier Ltd. All rights reserved.

Original languageEnglish
JournalInjury
Volume48
Issue10
Pages (from-to)2174-2179
Number of pages6
ISSN0020-1383
DOIs
Publication statusPublished - Oct 2017

    Research areas

  • Hip fracture, Audit, Registry, International, VALIDATION, DELIRIUM

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