Hip fracture surgery and performance indicators: an analysis of 941 patients operated in a large teaching hospital
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : T. S. C. Jakma S. Vijfhuize P. A. Vegt P. W. Plaisier R. J. Oostenbroek B. J. Punt
- چاپ و سال / کشور: 2011
Description
Background In the Netherlands, two performance indicators for the treatment of hip fracture patients have been recently implemented. Both indicators state that surgery within 24 h after admission improves the outcome with regard to 1-year mortality and the amount of re-operations within 1 year. To determine the value of these performance indicators, we conducted a retrospective analysis of 941 hip fracture patients. Methods In the period from January 2003 to December 2006, a total of 941 consecutive hip fracture patients were included in this study. We determined the amount of re-operations and the mortality at 1 year after surgery. From June 2005 to December 2006, we could determine whether patients were operated on within 24 h after admission. In this group of 379 patients, we determined if there were differences in the 1-year mortality and the number of re-operations at 1 year with regard to the time window in which these patients were operated on (\24 h or [24 h). Results Our overall mortality rate at 1 year is 21% (202 patients) and the amount of re-operations within 1 year is 8% (77 procedures). In our subgroup analysis, we found no significant difference in mortality or re-operations if patients were operated on within 24 h or not (number needed to treat of 59 and -31, respectively). Conclusion We conclude that hip fracture surgery within 24 h does not provide significantly better results in terms of 1-year mortality and the amount of re-operations within 1 year.
Eur J Trauma Emerg Surg DOI 10.1007/s00068-011-0120-7 Received: 14 December 2010 / Accepted: 21 May 2011
