Evidence map›Paper›PMID 25183587›Full record

Trial reportThe bone & joint journal2014

Preventable mortality in geriatric hip fracture inpatients.

S M Tarrant, B M Hardy, P L Byth, T L Brown, J Attia, Z J Balogh

Abstract readClinical Trial
In one paragraph

Trial report in The bone & joint journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. [Risk factors of perioperative deep venous thrombosis of lower extremities in elderly patients with femoral neck fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Co-morbidities in Patients with a Hip Fracture.The Ulster medical journal · 2019
    Article
  7. Article
  8. Article
  9. Article
  10. Prognostic factors and predictive model for in-hospital mortality following hip fractures in the elderly.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2018
    Article
  11. Article
  12. Achieving hip fracture surgery within 36 hours: an investigation of risk factors to surgical delay and recommendations for practice.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2016
    Article
  13. Thirty-day mortality after hip fractures: has anything changed?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

S M TarrantJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
B M HardyJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
P L BythJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
T L BrownJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
J AttiaJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
Z J BaloghJohn Hunter Hospital, Newcastle, University of Newcastle, Department of Traumatology, John Hunter Hospital and University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a high rate of mortality in elderly patients who sustain a fracture of the hip. We aimed to determine the rate of preventable mortality and errors during the management of these patients. A 12 month prospective study was performed on patients aged > 65 years who had sustained a fracture of the hip. This was conducted at a Level 1 Trauma Centre with no orthogeriatric service. A multidisciplinary review of the medical records by four specialists was performed to analyse errors of management and elements of preventable mortality. During 2011, there were 437 patients aged > 65 years admitted with a fracture of the hip (85 years (66 to 99)) and 20 died while in hospital (86.3 years (67 to 96)). A total of 152 errors were identified in the 80 individual reviews of the 20 deaths. A total of 99 errors (65%) were thought to have at least a moderate effect on death; 45 reviews considering death (57%) were thought to have potentially been preventable. Agreement between the panel of reviewers on the preventability of death was fair. A larger-scale assessment of preventable mortality in elderly patients who sustain a fracture of the hip is required. Multidisciplinary review panels could be considered as part of the quality assurance process in the management of these patients.

Indexed as

Hospital MortalityAgedAged, 80 and overEmergency Medical ServicesFemaleFollow-Up StudiesFracture FixationHip FracturesHumansMaleMedical ErrorsNew South WalesObserver VariationPerioperative CareProspective StudiesQuality Assurance, Health CareHip fracture; Preventable mortality; Errors

Identifiers

PMID25183587
PMCPMC4327126

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.