Mortality Registration in Patients with a Proximal Femoral Fracture Admitted to a Surgical Ward

Tjeenk, Remy M.; Schepers, Abbey; Linde, Pieter van de; Breslau, Paul J.; Peeters, Mark-Paul F. M. Vrancken

doi:10.1007/s00068-002-1181-4

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Such questions can only be answered with a high autopsy rate and a multidisciplinary review where all patients who died are systematically evaluated and categorized according to a standard protocol. In our institution, such a protocol, a mortality registration, was started in 1991 and the results of the use of this protocol have been reported for patients undergoing abdominal aortic surgery [8]and proximal femur fractures [9]. These studies demonstrated a discrepancy between autopsy findings and clinical findings in 30% after central vascular surgery and a discrepancy of 7% after proximal femur surgery.…”

Section: Introductionmentioning

confidence: 88%

Mortality after Colon Surgery: The Value of a Mortality Registration System

Maartense¹,

Peeters²,

Spaander³

et al. 2003

Dig Surg

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Background/Aims: Postoperative mortality after colon surgery is relatively infrequent. In order to evaluate the quality of colon surgery, post-mortem evaluation is useful. This study was performed to determine the value of a mortality register used at the Department of Surgery of the Red Cross Hospital. Methods: From 1991 to 2000, 882 colon resections were performed for both malignant and benign disorders, including elective and emergency surgery. Permission for autopsy was asked routinely. All cases were reviewed and categorized in a multidisciplinary meeting. Any discrepancy between the clinical and post-mortem diagnosis was determined by a pathologist. Results: The mortality rate of colon surgery was 8.0% (n = 71), 23% for emergency surgery and 6% for elective surgery (p < 0.001). For patients under 70 years of age the mortality rate was 4.3%, for patients over 70 years of age 11.2% (p < 0.001). Autopsy was performed in 62% (n = 44) of the patients. Discrepancy between clinical and post-mortem findings was documented in 14%. Conclusion: Postoperative mortality after colon surgery is influenced by the timing of surgery (elective or emergency procedure) and the age of the patient. A discrepancy of 14% between clinical cause of death and post-mortem cause of death justifies the need for obtaining autopsy in this type of surgery.

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Section: Introductionmentioning

confidence: 88%

Mortality after Colon Surgery: The Value of a Mortality Registration System

Maartense¹,

Peeters²,

Spaander³

et al. 2003

Dig Surg

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Mortality within 1 year after hip fracture surgical repair in the elderly according to postoperative period: a probabilistic record linkage study in Brazil

et al. 2006

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We found an overall 21.5% (95% CI 18.2-24.9) mortality rate in 1 year and a statistically significant SMR of 1,080 (95% CI 794-1450) and 512.8 (95% CI 366.4-698.3) for the first two periods, 1-30 days and 31-90 days after hospital admission, respectively. For the last period the SMR displayed a statistically nonsignificant trend of 137 (95% CI 99-183). Even in the first 15 days after the index hospital admission, most deaths (55.1%) occurred after hospital discharge, reinforcing the importance of linking hospital mortality databases with general population mortality information systems. The leading three basic causes of death, as reported in death certificates, were cardiovascular events, falls, and infections. This study represents an example of the application of PRL methodology to produce relevant data on hip fracture, a subject of rising epidemiological importance in developing countries.

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Mortality Registration in Patients with a Proximal Femoral Fracture Admitted to a Surgical Ward

Cited by 2 publications

References 16 publications

Mortality after Colon Surgery: The Value of a Mortality Registration System

Mortality after Colon Surgery: The Value of a Mortality Registration System

Mortality within 1 year after hip fracture surgical repair in the elderly according to postoperative period: a probabilistic record linkage study in Brazil

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