European Regional Differences in All‐Cause Mortality and Length of Stay for Patients with Hip Fracture

Abstract

SUMMARYThe objective of this study was to compare healthcare performance for the surgical treatment of hip fractures across and within Finland, Hungary, Italy, the Netherlands, Norway, Scotland, and Sweden. Differences in age-adjusted and sexadjusted 30-day and one-year all-cause mortality rates following hip fracture, as well as the length of stay of the first hospital episode in acute care and during a follow up of 365 days, were investigated, and associations between selected country-level and regional-level factors with mortality and length of stay were assessed.Hungary showed the highest one-year mortality rate (mean 39.7%) and the lowest length of stay in one year (12.7 days), whereas Italy had the lowest one-year mortality rate (mean 19.1 %) and the highest length of stay (23.3 days). The observed variations were largely explained by country-specific effects rather than by regional-level factors. The results show that there should still be room for efficiency gains in the acute treatment of hip fracture, and clinicians, healthcare managers, and politicians should learn from best practices. This study demonstrates that an international comparison of acute hospital care is possible using pooled individual-level administrative data.

General vs. neuraxial anaesthesia in hip fracture patients: a systematic review and meta-analysis

“…Furthermore, elderly hip fracture patients present an array of comorbidities which are associated with an increased risk of morbidity and mortality [2]. The one-month mortality ranges from 4 to 14% [3–6]. …”

A EuroHOPE kutatási program módszertana

“…Azokat a módszertani kérdéseket emeltük ki, amelyek a jelen lapszámban megjelenő AMI, STR, HIP és VLBW diagnóziscsoportokkal kapcsolatos közle ményeink értelmezéséhez szükségesek. A EuroHOPE kutatás egyéb területeit a nemzetközi publikációkból [3][4][5][6][7][8][9][10][11][12] és a kutatás honlapjáról lehet megismerni (http://www.eurohope.info). Az egyes diagnóziscso portok specifikus módszertani jellemzőit a témát ismer tető dolgozatokban közöljük.…”

“…A nemzetközi összehasonlító elemzéseket számos publi kációban [3][4][5][6][7][8][9][10][11][12] közöltük, a részletes publikációs jegy zék ugyancsak elérhető a EuroHOPE honlapján.…”

Patients With Atypical Femur Fractures Have the Same Mortality as the Background Population—Drug-Channeling Bias, Bisphosphonate Effects, and Public Health Implications

“…The existing evidence base is fairly consistent in terms of excess mortality after most if not all osteoporotic fractures, with higher relative risk in younger patients and in men. National differences in post‐fracture mortality can be pronounced even within Europe, but mortality after osteoporotic fractures in Sweden has been well characterized thanks to the availability of good X‐ray records and national mortality data. Hence, in 2004, Johnell and colleagues reported a 1‐year case fatality of 6% after a forearm fracture, 13% after a humerus fracture, 22% after hip fracture, and 28% after clinically symptomatic vertebral fracture .…”