First proposal of quality indicators and standards and recommendations to improve the healthcare in the Spanish National Registry of Hip Fracture

Condorhuamán-Alvarado, Patricia Ysabel; Pareja‐Sierra, Teresa; Muñoz-Pascual, Angélica; Sáez-López, Pilar; Ojeda-Thies, Cristina; Alarcón-Alarcón, Teresa; Cassinello, Concepción; Pérez‐Castrillón, José Luis; Gómez-Campelo, Paloma; Navarro-Castellanos, Laura; Otero-Puime, Ángel; González-Montalvo, Juan Ignacio

doi:10.1016/j.regg.2019.04.001

Cited by 11 publications

(4 citation statements)

References 26 publications

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“…Data is collected during acute hospitalization and one month after the fracture. The SNHFR has established and monitors several standards of quality of care, with the final goal of progressively improving care for patients suffering hip fractures [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

Predictive Model of Gait Recovery at One Month after Hip Fracture from a National Cohort of 25,607 Patients: The Hip Fracture Prognosis (HF-Prognosis) Tool

Villaumbrosia

López

Diego

et al. 2021

IJERPH

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The aim of this study was to develop a predictive model of gait recovery after hip fracture. Data was obtained from a sample of 25,607 patients included in the Spanish National Hip Fracture Registry from 2017 to 2019. The primary outcome was recovery of the baseline level of ambulatory capacity. A logistic regression model was developed using 40% of the sample and the model was validated in the remaining 60% of the sample. The predictors introduced in the model were: age, prefracture gait independence, cognitive impairment, anesthetic risk, fracture type, operative delay, early postoperative mobilization, weight bearing, presence of pressure ulcers and destination at discharge. Five groups of patients or clusters were identified by their predicted probability of recovery, including the most common features of each. A probability threshold of 0.706 in the training set led to an accuracy of the model of 0.64 in the validation set. We present an acceptably accurate predictive model of gait recovery after hip fracture based on the patients’ individual characteristics. This model could aid clinicians to better target programs and interventions in this population.

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Section: Methodsmentioning

confidence: 99%

Predictive Model of Gait Recovery at One Month after Hip Fracture from a National Cohort of 25,607 Patients: The Hip Fracture Prognosis (HF-Prognosis) Tool

Villaumbrosia

López

Diego

et al. 2021

IJERPH

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“…Most hip fracture registries and their governing agencies have implemented national standards which address similar quality goals, such as geriatrician involvement, surgical delay, early mobilisation and prevention of new fractures [14,19,31,[65][66][67]. Some of these quality standards are summarised in Table 19.2.…”

Section: Hip Fracture Audit and The Improvement Of Carementioning

confidence: 99%

“…Quality standards are regularly updated and modified, and while initial standards focused mainly on acute care, they now incorporate achievement of rehabilitation and post-acute care goals and more. All registries studied include secondary fracture prevention among their quality standards [31,[65][66][67]. The Irish Hip Fracture Database has also implemented a BPT since 2018 and in the initial 12-month period there has been a significant improvement in data quality seen in the Irish Hip Fracture Care Standards and hospital governance arrangements [18].…”

Section: Hip Fracture Audit and The Improvement Of Carementioning

confidence: 99%

Fragility Fracture Audit

Ojeda-Thies

Brent²,

Currie³

et al. 2020

Practical Issues in Geriatrics

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Fragility fracture audit is key to understanding fragility fracture management, identifying areas for its improvement and measuring the impact of clinical initiatives and service change. Hip fracture can be considered a marker for fragility fractures, and hip fracture audits indirectly show strengths and weaknesses of fragility fracture care overall. Notably, where effective hip fracture care exists, this has a favourable impact on the care of other fragility fractures. Early established audits, clinically led, have used clinical standards and feedback on compliance with them to improve care and outcomes. Although data collection, analysis and feedback require investment, the cost per case amounts to only a very small fraction of the cost of care per case. More recently established audits have also proved effective, and increasingly international collaboration on hip fracture audit is now emerging: an important development in view of demographic projections reflecting first-generation mass ageing in a number of large nations. Parallel developments such as fracture liaison services promote both primary and secondary fracture prevention. In future, automated data collection using reliable electronic health records may facilitate audit and international collaboration and enabling instructive comparisons and, eventually, multinational hip fracture-related clinical and epidemiological research.

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“…Sáez una mejora en la atención de la FC en España, dadas las diferencias entre unas comunidades autónomas y otras. (111,132,133,148) El estudio de la CV de las personas mayores puede dar a conocer el grado de satisfacción de la persona con su entorno y con su salud. Ese grado de satisfacción hará al individuo más o menos demandante de los servicios sanitarios.…”

Section: Análisis Estadísticounclassified

Calidad de vida en mujeres mayores de 65 años diagnosticadas de osteoporosis

Robles¹

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First proposal of quality indicators and standards and recommendations to improve the healthcare in the Spanish National Registry of Hip Fracture

Cited by 11 publications

References 26 publications

Predictive Model of Gait Recovery at One Month after Hip Fracture from a National Cohort of 25,607 Patients: The Hip Fracture Prognosis (HF-Prognosis) Tool

Predictive Model of Gait Recovery at One Month after Hip Fracture from a National Cohort of 25,607 Patients: The Hip Fracture Prognosis (HF-Prognosis) Tool

Fragility Fracture Audit

Calidad de vida en mujeres mayores de 65 años diagnosticadas de osteoporosis

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