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Effect of the Dutch hip fracture audit implementation on mortality, length of hospital stay and time until surgery in elderly hip fracture patients: A multi-center cohort study

Injury Feb 26, 2020

van Voorden TAJ, et al. - Researchers investigated how the implementation of the Dutch Hip Fracture Audit (DHFA: a new multidisciplinary quality indicator implemented in the Dutch hospitals in 2017) influenced 30-day mortality, length of hospital stay and time until surgery in elderly with a hip fracture in the Netherlands. They conducted a multicenter retrospective comparative cohort study. They assessed data from patients aged 60 years and older with a hip fracture (femoral neck and trochanteric) and admitted in one of the ten participating hospitals and compared the data attained from 2015, before the implementation of DHFA, with data from 2017, when the DHFA was implemented. The inclusion of 3,808 patients was done; these comprised 1,839 in the 2015 cohort and 1,969 in the 2017 cohort. Outcomes revealed a positive non-significant trend in the 30-day mortality of hip fracture patients following the implementation of a new quality indicator. This first insight also demonstrated the two cohorts as similar in the length of hospital stay and time until surgery. Given a shortage of studies examining the influence of implementation of quality indicators, such as the DHFA, knowledge is limited.
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