ArticleQuality & safety in health care2002
Quality improvement for patients with hip fracture: experience from a multi-site audit.
Article in Quality & safety in health care, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- The relationship between pressure injury complication and mortality risk of older patients in follow-up: A systematic review and meta-analysis.International wound journal · 2019Pooled it
- Quality indicators for hip fracture care, a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018Pooled it
- Percutaneous compression plate versus dynamic hip screw for treatment of intertrochanteric Hip fractures: a meta-analyse of five randomized controlled trials.TheScientificWorldJournal · 2014Pooled it
- What is the empirical evidence that hospitals with higher-risk adjusted mortality rates provide poorer quality care? A systematic review of the literature.BMC health services research · 2007Pooled it
- The Effect of Cognitive-Motor Dual Tasks on the Risk of Falls in Female Saudi Students: A Cross-Sectional Study.Risk management and healthcare policy · 2025Article
- Comparison of postoperative pain between InterTan and proximal femoral nail anti-rotation in femoral intertrochanteric fractures: a retrospective study.American journal of translational research · 2024Article
- Development and Internal Validation of a Risk Prediction Model for Falls Among Older People Using Primary Care Electronic Health Records.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Antibiotic prophylaxis as a quality of care indicator: does it help in the fight against surgical site infections following fragility hip fractures?Archives of orthopaedic and trauma surgery · 2022Article
- Prognostic Factors for All-Cause Mortality in Thai Patients with Fragility Fracture of Hip: Comorbidities and Laboratory Evaluations.Medicina (Kaunas, Lithuania) · 2020Article
- Investigation of the outcome of patients with hip fractures using vitamin D3.European journal of translational myology · 2018Article
- Biopsychosocial Measures Related to Chronic Low Back Pain Postural Control in Older Adults.Healthcare (Basel, Switzerland) · 2017Article
- Vitamin D and the Mechanisms, Circumstances and Consequences of Falls in Older Adults: A Case-Control Study.The journal of nutrition, health & aging · 2017Article
- Assessment and Availability of Trauma Care Services in a District Hospital of South India; A Field Observational Study.Bulletin of emergency and trauma · 2016Article
- Article
- InterTan nail versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures.Diagnostic pathology · 2014Article
- Identification of functional parameters for the classification of older female fallers and prediction of 'first-time' fallers.Journal of the Royal Society, Interface · 2014Article
- Engaging pediatric intensive care unit (PICU) clinical staff to lead practice improvement: the PICU participatory action research project (PICU-PAR).Implementation science : IS · 2014Article
- Bone marrow stem cells added to a hydroxyapatite scaffold result in better outcomes after surgical treatment of intertrochanteric hip fractures.BioMed research international · 2014Article
- Postoperative management of hip fractures: interventions associated with improved outcomes.BoneKEy reports · 2012Review
- The implications of long-term acute care hospital transfer practices for measures of in-hospital mortality and length of stay.American journal of respiratory and critical care medicine · 2012Article
Corrections and comments
- Commented on by
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemThe first East Anglian audit of hip fracture was conducted in eight hospitals during 1992. There were significant differences between hospitals in 90-day mortality, development of pressure sores, median lengths of hospital stay, and in most other process measures. Only about half the survivors recovered their pre-fracture physical function. A marked decrease in physical function (for 31%) was associated with postoperative complications.
designA re-audit was conducted in 1997 as part of a process of continuing quality improvement. This was an interview and record based prospective audit of process and outcome of care with 3 month follow up. Seven hospitals with trauma orthopaedic departments took part in both audits. Results from the 1992 audit and indicator standards for re-audit were circulated to all orthopaedic consultants, care of the elderly consultants, and lead audit facilitators at each hospital. KEY MEASURES FOR IMPROVEMENT: Processes likely to reduce postoperative complications and improve patient outcomes at 90 days. STRATEGY FOR CHANGE: As this was a multi-site audit, the project group had no direct power to bring about changes within individual NHS hospital trusts.
resultsSignificant increases were seen in pharmaceutical thromboembolic prophylaxis (from 45% to 81%) and early mobilisation (from 56% to 70%) between 1992 and 1997. There were reduced levels of pneumonia, wound infection, pressure sores, and fatal pulmonary embolism, but no change was recorded in 3 month functional outcomes or mortality. LESSONS LEARNT: While some hospitals had made improvements in care by 1997, others were failing to maintain their level of good practice. This highlights the need for continuous quality improvement by repeating the audit cycle in order to reach and then improve standards. Rehabilitation and long term support to improve functional outcomes are key areas for future audit and research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.