What are the outcomes for patients who have had surgery after breaking a hip? This is a study of the Kaiser Permanente Hip Fracture Registry – looking at over 12,000 patients in California in 2009 through 2011. The registry data includes 33 medical centers and 474 surgeons. Here is a look at this data-rich article:
Characteristics of Patients with Broken Hips
- Two-thirds are female
- Two-thirds are 75 years or older
- Over half have 3 or more other medical problems (comorbidities)
- Two-thirds have hypertension
Patient Outcomes
- 4-day length of stay (median)
- 6.2 percent death within 30 days
- 12.3 percent death within 90 days
- 12.2 percent readmission within 30 days
- 22.1 percent readmission within 90 days
- 11.4 percent contracted pneumonia
- 1.1 percent surgical site infection
Surgeon Characteristics
- 12.1 percent low volume (less than 10 procedures / year)
- 68.4 percent medium volume (10 to 29 procedures / year)
- 19.5 percent high volume (30+ procedures / year)
Hospital Characteristics
- 1.7 percent low volume (less than 60 procedures / year)
- 35.3 percent medium volume (60 to 129 procedures / year)
- 63.0 percent high volume (130+ procedures / year)
Source: Inacio, M.C.S., and others. (2015, Sum.). A community-based hip fracture registry: Population, methods, and outcomes. The Permanente Journal, 19(3), 29-36. Click here for free full text: http://www.thepermanentejournal.org/files/Summer2015/Registry.pdf Posted by AHA Resource Center (312) 422-2050, rc@aha.org
Filed under: Benchmarking, Posted by Kim Garber, Readmission, Surgical suite | Tagged: 30-day readmission rates, 90-day readmission rates, Hip fractures, Patient outcomes |
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