A5074229656- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Emergency and Acute Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Bone fractures and treatments
- Trauma and Emergency Care Studies
- Orthopaedic implants and arthroplasty
- Healthcare Systems and Public Health
- Frailty in Older Adults
- Trauma Management and Diagnosis
- Healthcare cost, quality, practices
- Chronic Disease Management Strategies
Leiden University Medical Center
2020-2023
Dutch Institute for Clinical Auditing
2022
Leiden University
2022
Diakonessenhuis hospital
2018
The Parker Mobility Score has proven to be a valid and reliable measurement of hip fracture patient mobility. For registries the Fracture is advised used, although this score never been validated. This study aims validate against Score.The Dutch Hip Audit uses (categorical scale). purpose study, five hospitals registered both (0-9 scale) for every admitted in 2018. Spearman correlation between two scores was calculated. To test whether coefficient remained stable among different subgroups,...
The COVID-19 pandemic caused disruption of regular healthcare leading to reduced hospital attendances, repurposing surgical facilities, and cancellation cancer screening programmes. This study aimed determine the impact on care in Netherlands.A nationwide was conducted collaboration with Dutch Institute for Clinical Auditing. Eight audits were expanded items regarding alterations scheduling treatment plans. Data procedures performed 2020 compared those from a historical cohort (2018-2019)....
The AHFS90 was developed for the prediction of early mortality in patients ≥ 90 years undergoing hip fracture surgery. has a good accuracy and most risk categories calibration. In our study population, yielded maximum 64.5%.Identifying with high after surgery could help make treatment decisions information about prognosis. This aims to develop validate score predicting (AHFS90).Patients years, surgically treated fracture, were included. A selection possible predictors made. Missing data...
To investigate early predictors for discharge to a geriatric rehabilitation department at skilled nursing home in older patients after hospitalization hip fracture surgery.Retrospective cohort study.Data from 21,176 with aged ≥70 years, who were registered the Dutch Hip Fracture Audit database between January 1, 2017, and December 31, 2019, included.Patients categorized into 3 groups: (n=7326), (n=11,738), (n=2112). Age, gender, Pre-Fracture Mobility Score (PFMS), premorbid Katz index of...
Abstract Purpose Evidence for a hospital volume–outcome relationship in hip fracture surgery is inconclusive. This study aimed to analyze the association between volume as continuous parameter and several processes outcomes of care. Methods Adult patients registered nationwide Dutch Hip Fracture Audit (DHFA) 2018 2020 were included. The annual turnaround times (time on emergency ward, < 48 h length stay), orthogeriatric co-treatment case-mix adjusted in-hospital 30 days mortality was...
To develop and validate a prediction model for in-hospital mortality in patients with hip fracture 85 years of age or older undergoing surgery.A multicenter prospective cohort study.Six Dutch trauma centers, level 2 3.Patients surgery.Hip surgery.In-hospital mortality.The development consisted 1014 patients. In-hospital was 4%. Age, male sex, American Society Anesthesiologists classification, hemoglobin levels at presentation were independent predictors mortality. The bootstrap adjusted...
The Dutch Hip Fracture Audit (DHFA), a nationwide hip fracture registry in the Netherlands, registers patients and aims to improve quality of care since 2016. This study shows trends data during first 5 years acquisition within DHFA, as well over time for designated indicators (QI).All registered DHFA between 1-1-2016 31-12-2020 were included. Data quality-registry case coverage completeness-and baseline characteristics are reported. Five QI analysed: Time surgery < 48 h, assessment...
Implementation of an inclusive trauma system leads to reduced mortality rates, specifically in polytrauma patients. Field triage is essential this reduction. Triage systems are developed identify patients with life-threatening injuries, and mechanisms important for triaging. Although complex extremity fractures mostly non-lethal, these injuries frequently the result a high-energy mechanism. The aim study compare injury patient characteristics, as well resource demands, lower between level...
Objectives: This study evaluated whether patients with a left-sided femoral neck fracture (FNF) treated sliding hip screw (SHS) had higher implant failure rate than for right-sided FNF. was performed to determine the clinical relevance of clockwise rotational torque lag in SHS, relation stability left and FNFs after fixation. Methods: Data were derived from FAITH trial Dutch Hip Fracture Audit (DHFA). Patients FNF, aged ≥50, at least 3-month follow-up data available, included. Implant...
Abstract Summary Individual process indicators often do not enable the benchmarking of hospitals and lack an association with outcomes care. The composite hip fracture indicator, textbook process, might be a tool to detect hospital variation is associated better during stay. Purpose aim this study was determine in quality care using indicator (textbook process) evaluate at patient level whether fulfilment Methods Hip patients aged 70 older operated five between 1 January 2018 31 December...
Abstract Summary Additional variables for a nationwide hip fracture registry must be carefully chosen to prevent unnecessary load. A pilot in seven hospitals resulted recommending polypharmacy, serum hemoglobin at admittance, and questions screening risk of delirium used case-mix correction development quality indicators. Purpose Clinical registries help improve the care but come cost registration Datasets should therefore as compact possible; however, are usually empirically. This study...
To compare hospitals' hip fracture patient mortality in a quality of care registry, correction for characteristics is needed. This study evaluates 39,374 patients which are associated with 30 and 90-day mortality, showed how using these case mix-model changes hospital comparisons within the Netherlands.Mortality rates after surgery considerable may be influenced by characteristics. aims to evaluate variation regarding demographics disease burden, develop case-mix adjustment model analyse...