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Using national hip fracture registries and audit databases to develop an international perspective
University Hospital of Wales, National Hip Fracture Database, Royal College of Physicians, Cardiff, London, UK.
Academic Foundation Trainee, University Hospital of Wales, Cardiff, UK.
National IHFD Audit Coordinator, National Office of Clinical Audit, Ireland.
Australian and New Zealand Hip Fracture Registry, Prince of Wales Hospital, Balance and Injury Research Centre at Neuroscience Research, Sydney, Australia.
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2017 (English)In: Injury, ISSN 0020-1383, E-ISSN 1879-0267, Vol. 48, no 10, p. 2174-2179Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 48, no 10, p. 2174-2179
Keywords [en]
Hip fracture, Audit, Registry, International
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:mau:diva-4129DOI: 10.1016/j.injury.2017.08.001ISI: 000414227500025PubMedID: 28803651Scopus ID: 2-s2.0-85028340976Local ID: 25552OAI: oai:DiVA.org:mau-4129DiVA, id: diva2:1400954
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-09-30Bibliographically approved

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