AI Article Synopsis
- The study evaluates the "preoperative stay" quality indicator for proximal femoral fractures, allowing a maximum of 15% of surgeries to occur more than 48 hours after patient admission.
- Over a five-year period, 165 out of 1,036 patients (16%) had delayed surgeries due to reasons like poor health, consent issues, and diagnostic errors.
- The findings suggest that the quality indicator should be analyzed more critically, distinguishing between administrative delays and patient-related factors, especially for fall-related fractures.
Article Abstract
Background: For the quality indicator "preoperative stay" a part of the external quality assurance for proximal femoral fractures (module 17/1), a tolerance range for surgery within 48 h after admission of ≤ 15 % is given.
Materials And Methods: Over a period of 5 years all cases were analyzed with respect to reasons for delayed surgery of more than 48 h after admission.
Results: A total of 165 patients (16%) out of 1,036 documented cases had surgery later than 48 h after admission. Reasons were pathological bleeding, preoperative poor general condition, lack of informed consent, intake of metformin and lacking initial radiological detection of fractures. Due to a lack of software-related specifications in ten patients a wrong preoperative length of stay was generated.
Conclusion: The significance of the quality indicator "preoperative stay" without division into whether this was administrative or patient-related must be considered critically. For fall-related fractures in hospital the time of the accident or diagnosis should be considered.
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| http://dx.doi.org/10.1007/s00113-013-2436-8 | DOI Listing |
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