A Comparison of Geriatric Hip Fracture Databases

Trevor Shelton, Garin Hecht, Christina Slee, Philip Wolinsky

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: The National Surgical Quality Improvement Project (NSQIP) and the Trauma Quality Improvement Project (TQIP) collect data on geriatric hip fractures (GHFs) that could be used to generate risk-adjusted metrics for care of these patients. We examined differences between GHFs reported by our own trauma center to the NSQIP and TQIP and those vetted through an internal GHF list. METHODS: We reviewed charts of GHFs treated between January 1 and December 31, 2015, and compared patients in an internal GHF database and/or reported to the NSQIP and/or TQIP and determined differences between databases. RESULTS: We identified 89 "true" GHFs, of which 96% were identified by our institutional database, 70% by NSQIP, and 9% by the TQIP. No differences were found in outcomes and total costs. The net revenue/patient in the NSQIP database was $24,373 more than those in the institutional database. CONCLUSION: Caution should be taken when using NSQIP/TQIP databases to evaluate the care of GHFs. LEVEL OF EVIDENCE: Level III.

Original languageEnglish (US)
Pages (from-to)e135-e141
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume27
Issue number3
DOIs
StatePublished - Feb 1 2019

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Hip Fractures
Quality Improvement
Geriatrics
Databases
Wounds and Injuries
Trauma Centers
Patient Care
Costs and Cost Analysis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

A Comparison of Geriatric Hip Fracture Databases. / Shelton, Trevor; Hecht, Garin; Slee, Christina; Wolinsky, Philip.

In: The Journal of the American Academy of Orthopaedic Surgeons, Vol. 27, No. 3, 01.02.2019, p. e135-e141.

Research output: Contribution to journalArticle

Shelton, Trevor ; Hecht, Garin ; Slee, Christina ; Wolinsky, Philip. / A Comparison of Geriatric Hip Fracture Databases. In: The Journal of the American Academy of Orthopaedic Surgeons. 2019 ; Vol. 27, No. 3. pp. e135-e141.
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