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Content archived on 2024-05-07

Standardization of hip fracture audit in Europe

Objective

. To devise and agree a standard data set for documentation of case mix, surgical management, rehabilitation management and outcome of hip fracture throughout Europe.
. To pilot the use of such a data set in range of settings throughout Europe.
. To facilitate Europe-wide comparisons of demographic features, surgical technique and rehabilitation arrangements.
. To demonstrate the feasibility of standardised collaborative and Europe-wide audit of hip fracture.
. To evaluate across Europe the effectiveness of hip fracture care in terms of mobility achieved, proportion of cases returned home and minimisation of dependency.
. To compare across Europe the efficiency of hip fracture care in a variety of settings by documenting use of acute care beds and post-acute rehabilitation facilities.
. To facilitate the dissemination of best-practice hip fracture surgery and rehabilitation throughout Europe.

Hip fractures constitute one of the most resource-consuming conditions needing healthcare in the western world. In Sweden these patients occupy 25% of allorthopedic bed days. The number of hip fracture patients will continue to increase due to both an increasing elderly population and an increasing incidence of fractures. Due to the age of the patients and other concomitant diseases they often need a chain of different treatment levels as well as social support. A large scale audit of hip fracture treatment will give answers of daily practise and its results and comparison internally over time and externally with other centres will lead to optimised treatment of benefit for the independent life of the patient, the efficiency of the health care system and the economy of the society.

Objectives:
1. To devise and agree a standard data set for documentation of case mix, surgical management, rehabilitation management and outcome of hip fracture throughout Europe;
2. To pilot the use of such a data set in range of settings throughout Europe;
3. To facilitate Europe-wide comparisons of demographic features, surgical technique and rehabilitation arrangements;
4. To demonstrate the feasibility of standardized collaborative and Europe-wide audit of hip fracture;
5. To evaluate across Europe the effectiveness of hip fracture care in terms of mobility achieved, proportion of cases returned home and minimization ofdependency;
6. To compare across Europe the efficiency of hip fracture care in a variety of settings by documenting use of acute care beds and post-acute rehabilitationfacilities;
7. To facilitate the dissemination of best-practice hip fracture surgery and rehabilitation throughout Europe.

This project seeks to standardize across Europe the documentation of a common, costly and well defined injury which occurs predominantly in the elderly. It builds upon a successful national hip fracture audit in Sweden, which already enjoys collaboration with some centres in Europe. Over a three-year period a steering group would agree draft documentation and software, a pan-European workshop would finalise this and, in the second half of the project, participants would attempt, using local funding, to establish pilot national hip fracture audits in each country. A review workshop will consolidate this process. This project would allow comparisons of the effectiveness and efficiency of various forms of surgery and rehabilitation of a common injury with high economic and social impact. It would serve to disseminate best practice across Europe with obvious benefits to patients and to providers of health care.05 05

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CON - Coordination of research actions

Coordinator

Lund University
EU contribution
No data
Address

221 85 Lund
Sweden

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Total cost

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