[More patients in a shorter inpatient stay with better outcome in treatment of femoral neck fracture: external quality assurance in Westfalia-Lippe on 50,354 patients].

Background: We show a comparison between two patient groups of the inpatient population suffering from femoral neck fractures registered in the external quality assurance between 1993 and 1997 and between 2005 and 2009.

Results: The comparison between two patient groups showed the following developments: an increase in patient numbers per year from 4,229 to 5,842 where the average age remained constant but the proportion of elderly patients over 70 years old increased; the period of hospitalization was clearly shorter (from 27 days to 18 days); an increase in comorbidities (according to the ASA classification) with simultaneous decrease of the complication rate (from 11.1% to 7.

[Medial hip neck fracture: influence of pre-operative delay on the quality of outcome. Results of data from the external in-hospital quality assurance within the framework of secondary data analysis].

Problem: According to international and national studies and clinical guidelines, patients with medial hip neck fracture should receive surgery as soon as medically reasonable after hospitalization, preferably within 48 h. Analysis of the German quality registry data of 2006 showed, however, that in 13 out of the 16 federal states less than 85% of patients were operated on within 48. Delayed surgery was found especially during the weekend.