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丹麦多学科髋部骨折登记处:基于人群的髋部骨折患者队列13年的研究结果。

The Danish Multidisciplinary Hip Fracture Registry 13-Year Results from a Population-Based Cohort of Hip Fracture Patients.

作者信息

Kristensen Pia Kjær, Röck Niels Dieter, Christensen Helle Collatz, Pedersen Alma Becic

机构信息

Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Department of Orthopaedic Surgery, Horsens Regional Hospital, Horsens, Denmark.

出版信息

Clin Epidemiol. 2020 Jan 9;12:9-21. doi: 10.2147/CLEP.S231578. eCollection 2020.

Abstract

AIM OF THE REGISTRY

The aim of the Danish Multidisciplinary Hip Fracture Registry (DMHFR) is to collect data on processes of treatment, nursing care and rehabilitation as well as outcomes for patients with hip fracture in Denmark, and thereby monitor and improve the quality.

STUDY POPULATION

Hip fracture patients at age 65 or older that have undergone surgery with arthroplasty or internal fixation since 2004.

MAIN VARIABLES

DMHFR collects quality indicators and descriptive variables. Quality indicators include eight process performance measures within treatment, nursing care and rehabilitation, reflecting recommendations from the national clinical guideline for hip fracture patients, and three outcome measures including survival within 30-days, unplanned acute readmission within 30 days and reoperation within 2 years. Descriptive variables include a number of patient- and surgery-related characteristics. All data are collected prospectively.

RESULTS

By the end of 2018, the DMHFR included 86,438 hip fracture patients. Since 2006, all hospital departments in Denmark, treating patients with hip fracture, have reported improvement in quality of care and improvement in survival, and reoperation over time as well as high completeness of variables registration.

CONCLUSION

The DMHFR is a well-established nationwide clinical registry, which plays a key role for monitoring and improving hip fracture care in Denmark. The registry can further be linked to a range of other nationwide registries in order to answer a number of relevant clinical research questions.

摘要

登记处的目标

丹麦多学科髋部骨折登记处(DMHFR)的目标是收集丹麦髋部骨折患者的治疗过程、护理和康复数据以及治疗结果,从而监测并提高医疗质量。

研究人群

2004年以来接受关节置换术或内固定手术的65岁及以上髋部骨折患者。

主要变量

DMHFR收集质量指标和描述性变量。质量指标包括治疗、护理和康复过程中的八项性能指标,反映了国家髋部骨折患者临床指南中的建议,以及三项结果指标,包括30天内的生存率、30天内的非计划急性再入院率和2年内的再次手术率。描述性变量包括一些与患者和手术相关的特征。所有数据均为前瞻性收集。

结果

截至2018年底,DMHFR纳入了86438名髋部骨折患者。自2006年以来,丹麦所有治疗髋部骨折患者的医院科室在护理质量、生存率、随时间推移的再次手术率以及变量登记的高完整性方面均有改善。

结论

DMHFR是一个成熟的全国性临床登记处,在监测和改善丹麦髋部骨折护理方面发挥着关键作用。该登记处可进一步与一系列其他全国性登记处相联系,以回答一些相关的临床研究问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c0/6959215/761982846021/CLEP-12-9-g0001.jpg

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