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

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journal contribution
posted on 2021-10-21, 12:56 authored by Antony Johansen, David Golding, Louise BrentLouise Brent, Jacqueline Close, Jan-Erik Gjertsen, Graeme Holt, Ami Hommel, Alma B Pedersen, Niels Dieter Rock, Karl-Goran Thorngren
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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Published Citation

Johansen A, et al. Using national hip fracture registries and audit databases to develop an international perspective. Injury. 2017;48(10):2174-2179.

Publication Date

2 August 2017

PubMed ID



  • National Office of Clinical Audit (NOCA)


Elsevier Inc.


  • Accepted Version (Postprint)

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