Trends in data quality and quality indicators 5 years after implementation of the Dutch Hip Fracture Audit
European Journal of Trauma and Emergency Surgery, vol. 48, pp. 4783–4796
Abstract
PURPOSE: The Dutch Hip Fracture Audit (DHFA), a nationwide hip fracture registry in the Netherlands, registers hip fracture patients and aims to improve quality of care since 2016. This study shows trends in the data quality during the first 5 years of data acquisition within the DHFA, as well as trends over time for designated quality indicators (QI). METHODS: All patients registered in the DHFA between 1-1-2016 and 31-12-2020 were included. Data quality-registry case coverage and data completeness-and baseline characteristics are reported. Five QI are analysed: Time to surgery < 48 h, assessment for osteoporosis, orthogeriatric co-management, registration of functional outcomes at three months, 30-day mortality. The independent association between QI results and report year was tested using mixed-effects logistic models and in the case of 30-day mortality adjusted for casemix. RESULTS: In 2020, the case capture of the DHFA comprised 85% of the Dutch hip fracture patients, 66/68 hospitals participated. The average of missing clinical values was 7.5% in 2016 and 3.2% in 2020. The 3 months follow-up completeness was 36.2% (2016) and 46.8% (2020). The QI 'time to surgery' was consistently high, assessment for osteoporosis remained low, orthogeriatric co-management scores increased without significance, registration of functional outcomes improved significantly and 30-day mortality rates remained unchanged. CONCLUSION: The DHFA has successfully been implemented in the past five years. Trends show improvement on data quality. Analysis of several QI indicate points of attention. Future perspectives include lowering the burden of registration, whilst improving (registration of) hip fracture patients outcomes.
Authors 15
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Franka S. Würdemann corresponding Aachen Department of Trauma Surgery Dutch Institute for Clinical Auditing
Leiden University Medical Center · Dutch Institute for Clinical Auditing
Affiliation as printed
Department of Trauma Surgery, Leiden University Medical Center, 2333 AA, Leiden, The Netherlands. f.wurdemann@dica.nl
Dutch Institute for Clinical Auditing, Scientific Bureau, Leiden, The Netherlands. f.wurdemann@dica.nl
Department of Trauma Surgery, Leiden University Medical Center, 2333 AA, Leiden, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands
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Affiliation as printed
Department of Geriatrics, Maasstadziekenhuis Rotterdam, Rotterdam, The Netherlands
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Affiliation as printed
Department of Trauma Surgery, Spaarne Gasthuis, Haarlem, The Netherlands
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Affiliation as printed
Department of Internal Medicine, Ziekenhuis Amstelland, Amstelveen, The Netherlands
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Affiliation as printed
Department of Trauma Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands
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Affiliation as printed
Department of Trauma Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands
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Affiliation as printed
Department of Trauma Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands
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Affiliation as printed
Department of Internal Medicine, Ziekenhuis Amstelland, Amstelveen, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Trauma Surgery, Leiden University Medical Center, Leiden, The Netherlands
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