Key result
Adverse events occurred in 38.0% of hip fracture patients within 90 days after surgery, with 60.8% of the 102 identified events deemed preventable.
Why the study?
Hip fracture is common in the elderly with high comorbidity, mortality, and complications, but knowledge regarding healthcare-related adverse events in this population is limited.
What is the incidence, preventability, and nature of adverse events in hip fracture patients up to 90 days after surgery?
Cohort (n=163)
What is the incidence, preventability, and nature of adverse events in hip fracture patients up to 90 days after surgery?
Adverse events are common in hip fracture patients, with a majority being preventable, highlighting the need for targeted interventions to improve care in this vulnerable population.
Supports focus on preventable adverse events after hip fracture surgery; leaves open whether targeted interventions reduce incidence.
INTRODUCTION: Hip fracture is common in the elderly and is associated with high comorbidity, mortality and complication rates. There has been an increase in the investigation of healthcare-related adverse events (AEs) in some patient groups but there is limited knowledge about hip fracture patients. The aim was to explore the incidence, preventability and nature of AEs in hip fracture patients. METHODS: One hundred and sixty three hip fracture patients participated. A record review was conducted of prospectively collected data using Global Trigger Tool methodology to identify AEs up to 90 days after surgery. RESULTS: Sixty two (38.0%) of 163 patients had at least one AE (range 1-7). One hundred and two AEs were identified and 62 (60.8%) were deemed preventable. Healthcare-associated infections e.g. pneumonia, urinary tract infections and pressure ulcers were common. AEs were more common in older patients and those with pre-existing health conditions. Fifty eight (56.9%) AEs caused temporary harm and 4 (3.9%) contributed to patient death. CONCLUSION: AEs are common in hip fracture patients and most are preventable. If the focus is on improving healthcare for these patients, we should be concentrating our efforts on reducing the number of these preventable AEs, with a particular emphasis on improving the care of older patients with pre-existing health conditions.
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Kelly‐Pettersson et al. (2020) conducted a cohort in Hip fracture (n=163). Hip fracture surgery was evaluated on Incidence of adverse events (AEs) up to 90 days after surgery. Adverse events occurred in 38.0% of hip fracture patients within 90 days after surgery, with 60.8% of the 102 identified events deemed preventable.
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