National Institute for Health and Welfare (THL), Helsinki, Finland.
Ann Med. 2011 Jun;43 Suppl 1:S39-46. doi: 10.3109/07853890.2011.586360.
This article in the supplement on the PERFormance, Effectiveness, and Costs of Treatment episodes (PERFECT)-project aims to measure the performance and quality of hip fracture treatment by analysing annual trends and regional differences in developed performance indicators.
The PERFECT Hip Fracture Database contains all hip fracture patients identified from the Hospital Discharge Register in Finland since 1999. Follow-up data from several administrative registers were also linked to the database. Several risk-adjusted performance indicators were developed.
In 2007 (compared with 1999), 4.1 percentage points fewer patients had died and 7.5 percentage points more patients were at home four months after fracture. The mean length of treatment had shortened from about 50 to about 45 days, and the mean costs of treatment per patient during the year following hip fracture had increased from about €18,000 to almost €20,000. There was extensive variation between the hospitals in the proportion of patients with an operative delay longer than two days and clear differences between hospital districts in several performance indicators.
Outcomes of hip fracture treatment in Finland have been improved in recent years, but regional variation exists. Register-based data are useful for performance assessment of hip fracture treatment.
本文是 PERFormance、Effectiveness、and Costs of Treatment episodes（PERFECT）项目增刊的一部分，旨在通过分析年度趋势和发达地区的差异来衡量髋部骨折治疗的表现和质量，从而确定治疗效果的性能指标。
PERFECT 髋部骨折数据库包含了自 1999 年以来芬兰住院登记处确定的所有髋部骨折患者的数据。还将来自多个行政登记处的随访数据与数据库进行了链接。制定了几个风险调整后的表现指标。
与 1999 年相比，2007 年死亡的患者减少了 4.1 个百分点，出院后四个月在家的患者增加了 7.5 个百分点。治疗时间的平均长度从大约 50 天缩短到大约 45 天，并且每位患者在髋部骨折后一年的治疗费用从大约 18000 欧元增加到近 20000 欧元。医院之间在手术延迟超过两天的患者比例上存在很大差异，并且在几个表现指标上医院地区之间也存在明显差异。
近年来，芬兰髋部骨折治疗的结果有所改善，但存在地区差异。基于登记的资料对于髋部骨折治疗的表现评估是有用的。
