Resumen

Background: Hip fracture (HF) is associated with negative outcomes, functional decline, and high costs. HF audits helped improving compliance in key performance indicators (KPI) and achieving better health-care outcomes. Objective: The aim of the audit is to know socio-demographic characteristics of HF in Mexico, the compliance to KPI and outcomes. Methodology: Prospective multicentric, observational, and descriptive study in seven public hospitals in Mexico. We included patients 60 years and older with fragility HF. We measured socio-demographic characteristics, pre fracture gait and functional status, in-hospital KPI and outcomes after 30 days. The authors used descriptive statistics for de analysis. Results: We included 220 patients, mean age was 81 years, 75% were women. The most frequent fracture was transtrochanteric. Mean surgical delay was of 144 h. After 30 post-discharge, 18% had an independent gait, mean mortality was 11.4%. Conclusions: Our compliance to KPI is low, and our health-care outcomes could be improved. A national audit will help to know our current status in HF care and built policies to improve quality of care and outcomes.

Palabras clave: Hip fracture audit fragility fractures orthogeriatrics

2021-07-21   |   99 visitas   |   Evalua este artículo 0 valoraciones

Vol. 7 Núm.1. Enero-Junio 2021 Pags. 20-28 J Lat Am Geriatric Med 2021; 7(1)