Evidence map›Paper›PMID 28473519›Full record

Observational studyBMJ open2017

Feasibility of administrative data for studying complications after hip fracture surgery.

Katie Jane Sheehan, Boris Sobolev, Pierre Guy, Michael Tang, Lisa Kuramoto, Philip Belmont, James A Blair, Susan Sirett, Suzanne N Morin, Donald Griesdale and 5 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

15 authors.

Katie Jane SheehanDepartment of Physiotherapy, Division of Health and Social Care, Kings College, London, UK.ORCID 0000-0002-5325-7454
Boris SobolevSchool of Population & Public Health, University of British Columbia, Vancouver, Canada.
Pierre GuyDepartment of Orthopedics, University of British Columbia, Vancouver, Canada.
Michael TangSchool of Population & Public Health, University of British Columbia, Vancouver, Canada.
Lisa KuramotoVancouver Coastal Health Research Institute, University of British Columbia, Vancouver, Canada.
Philip BelmontDepartment of Orthopaedic surgery, William Beaumont Army Medical Center, Texas Tech University Health Sciences Cente, El Paso, Texas, USA.
James A BlairDepartment of Orthopaedic surgery, William Beaumont Army Medical Center, Texas Tech University Health Sciences Cente, El Paso, Texas, USA.
Susan SirettDecision Support, Vancouver Coastal Health Authority, Vancouver, Canada.
Suzanne N MorinDepartment of Medicine, McGill University, Montreal, Canada.
Donald GriesdaleDepartments of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, Canada.
Susan JaglalDepartment of Physical Therapy, University of Toronto, Toronto, Canada.
Eric BohmDivision of Orthopaedic Surgery and Center for Healthcare Innovation, University of Manitoba, Winnipeg, Canada.
Jason M SutherlandSchool of Population & Public Health, University of British Columbia, Vancouver, Canada.
Lauren BeaupreDepartment of Physical Therapy and the Division of Orthopaedic Surgery, University of Alberta, Edmonton, Canada.
Canadian Collaborative Study on Hip Fractures

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is limited information in administrative databases on the occurrence of serious but treatable complications after hip fracture surgery. This study sought to determine the feasibility of identifying the occurrence of serious but treatable complications after hip fracture surgery from discharge abstracts by applying the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 4 (PSI-4) case-finding tool.

methodsWe obtained Canadian Institute for Health Information discharge abstracts for patients 65 years or older, who were surgically treated for non-pathological first hip fracture between 1 January 2004 and 31 December 2012 in Canada, except for Quebec. We applied specifications of AHRQ Patient Safety Indicators 04, Version 5.0 to identify complications from hip fracture discharge abstracts.

resultsOut of 153 613 patients admitted with hip fracture, we identified 12 383 (8.1%) patients with at least one postsurgical complication. From patients with postsurgical complications, we identified 3066 (24.8%) patient admissions to intensive care unit. Overall, 7487 (4.9%) patients developed pneumonia, 1664 (1.1%) developed shock/myocardial infarction, 651 (0.4%) developed sepsis, 1862 (1.1%) developed deep venous thrombosis/pulmonary embolism and 1919 (1.3%) developed gastrointestinal haemorrhage/acute ulcer.

conclusionsWe report that 8.1% of patients developed at least one inhospital complication after hip fracture surgery in Canada between 2004 and 2012. The AHRQ PSI-4 case-finding tool can be considered to identify these serious complications for evaluation of postsurgical care after hip fracture.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, HipCanadaFemaleGastrointestinal HemorrhageHip FracturesHospital AdministrationHumansMaleMyocardial InfarctionPatient DischargePneumoniaPostoperative ComplicationsPrevalencePulmonary EmbolismcomplicationsHip fracturepatient safety indicatorssurgery

Identifiers

PMID28473519
PMCPMC5623359

What OpenQuestion holds

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LicenceCC BY-NC
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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.