Evidence map›Paper›PMID 38819678›Full record

Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Variation in care and outcome for fragile hip fracture patients: a European multicentre study benchmarking fulfilment of established quality indicators.

E Coeckelberghs, K Vanhaecht, A Akiki, P Castillón, B Cox, R El Attal, N B Foss, F Frihagen, T G Gerich, N K Kanakaris and 7 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Tranexamic acid in hip fracture repair surgery: safe and effective?Blood transfusion = Trasfusione del sangue · 2025
    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

17 authors.

E CoeckelberghsLeuven Institute for Healthcare Policy, Leuven, KU, Belgium. Ellen.coeckelberghs@kuleuven.be.
K VanhaechtLeuven Institute for Healthcare Policy, Leuven, KU, Belgium.
A AkikiHôpital Riviera Chablais, Rennaz, Switzerland.
P CastillónServei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, España.
B CoxLeuven Institute for Healthcare Policy, Leuven, KU, Belgium.
R El AttalKlinik für Orthopädie und Unfallchirurgie, Sporttraumatologie, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
N B FossDepartments of Anaesthesia and Intensive Care, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
F FrihagenOrthopedic Department, Østfold Hospital Trust, Grålum, Norway.
T G GerichHead of orthopaedic trauma, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg.
N K KanakarisLeeds Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, UK.
M T KristensenDepartments of Physiotherapy and Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
M MohaddesDepartment of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
M PanellaEuropean Pathway Association, Leuven, Belgium.
H C PapeDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Zurich, Switzerland.
A SermonTraumatology Department at University Hospitals Leuven, Leuven, Belgium.
D SeysLeuven Institute for Healthcare Policy, Leuven, KU, Belgium.
S NijsTraumatology Department at University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the availability of clinical guidelines for hip fracture patients, adherence to these guidelines is challenging, potentially resulting in suboptimal patient care. The goal of this study was (1) to evaluate and benchmark the adherence to recently established quality indicators (QIs), and (2) to study clinical outcomes, in fragile hip fracture patients from different European countries.

methodsThis observational, cross-sectional multicenter study was performed in 10 hospitals from 9 European countries including data of 298 consecutive patients.

resultsA large variation both within and between hospitals were seen regarding adherence to the individual QIs. QIs with the lowest overall adherence rates were the administration of systemic steroids (5.4%) and tranexamic acid (20.1%). Indicators with the highest adherence rates (above 95%) were pre-operative (99.3%) and post-operative haemoglobin level assessment (100%). The overall median time to surgery was 22.6 h (range 15.7-42.5 h). The median LOS was 9.0 days (range 5.0-19.0 days). The most common complications were delirium (23.2%) and postsurgical constipation (25.2%).

conclusionThe present study shows large variation in the care for fragile patients with hip fractures indicating room for improvement. Therefore, hospitals should invest in benchmarking and knowledge-sharing. Large quality improvement initiatives with longitudinal follow up of both process and outcome indicators should be initiated.

Indexed as

BenchmarkingHip FracturesQuality Indicators, Health CareAgedAged, 80 and overCross-Sectional StudiesEuropeFemaleGuideline AdherenceHumansLength of StayMalePostoperative ComplicationsTime-to-TreatmentCare processFragile hip fractureQuality of careVariation

Identifiers

PMID38819678
PMCPMC11599305

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.