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HIP FRACTURES: Patient characteristics, outcomes, surgical volume: Data from Kaiser Permanente registry

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

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