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 language | English (US) |
|---|---|
| Pages (from-to) | e135-e141 |
| Journal | The Journal of the American Academy of Orthopaedic Surgeons |
| Volume | 27 |
| Issue number | 3 |
| DOIs | |
| State | Published - Feb 1 2019 |
Fingerprint
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 R.
In: The Journal of the American Academy of Orthopaedic Surgeons, Vol. 27, No. 3, 01.02.2019, p. e135-e141.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Comparison of Geriatric Hip Fracture Databases
AU - Shelton, Trevor
AU - Hecht, Garin
AU - Slee, Christina
AU - Wolinsky, Philip R
PY - 2019/2/1
Y1 - 2019/2/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85060245061&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060245061&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-D-17-00696
DO - 10.5435/JAAOS-D-17-00696
M3 - Article
VL - 27
SP - e135-e141
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
SN - 1067-151X
IS - 3
ER -