Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial · 2011
[Clinical audits of the procedure of the total hip arthroplasty and its impact on the improvement of the quality care].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Valdés J C, Videla M, Lafuente M, Henere E, Poal-Manresa A, Madrid P, Benet A, Videla S
Аннотация
BACKGROUND: Clinical audits are critical and systematic quality analysis of medical care. Total hip arthroplasty (THA) is a routine practice and cost-effective, although there is little information on the quality of care of it.
OBJECTIVE: To evaluate the impact of a clinical audit cycle in the quality of care in the primary THA procedures for non-traumatic cause.
PATIENTS AND METHODS: A series of two audits (first audit in 2005 and second one in 2007) were performed. Patients of both sexes with non-traumatic primary THA and with a follow-up of 6 months were included. Time (days) in hospital stay and the rate (percentage) of readmissions were used as indicators of management; and as indicators of clinical practice: the index (percentage) of dislocation and the rate (percentage) of infection. Both audits were compared with respect to these indicators.
RESULTS: A total of 160 patients (79 and 81, first and second audit respectively) were analysed. Management indicators: median (range) of hospital stay was 8 (7-78) and 7 (6-16), p<0.001, and the percentage of readmissions 5% (4/79) and 0 (0/81), p=0.057. Indicators of clinical practice: the rate of dislocation was 8% (6/79) and 0 (0/81), p=0.013, and the rate of infection 1% (1/79) and 1% (1/81), p=1. A multivariate analysis did not find other factors related to these indicators.
CONCLUSIONS: The implementation of a clinical audit cycle has improved the quality of care of primary THA procedures for non-traumatic cause.
OBJECTIVE: To evaluate the impact of a clinical audit cycle in the quality of care in the primary THA procedures for non-traumatic cause.
PATIENTS AND METHODS: A series of two audits (first audit in 2005 and second one in 2007) were performed. Patients of both sexes with non-traumatic primary THA and with a follow-up of 6 months were included. Time (days) in hospital stay and the rate (percentage) of readmissions were used as indicators of management; and as indicators of clinical practice: the index (percentage) of dislocation and the rate (percentage) of infection. Both audits were compared with respect to these indicators.
RESULTS: A total of 160 patients (79 and 81, first and second audit respectively) were analysed. Management indicators: median (range) of hospital stay was 8 (7-78) and 7 (6-16), p<0.001, and the percentage of readmissions 5% (4/79) and 0 (0/81), p=0.057. Indicators of clinical practice: the rate of dislocation was 8% (6/79) and 0 (0/81), p=0.013, and the rate of infection 1% (1/79) and 1% (1/81), p=1. A multivariate analysis did not find other factors related to these indicators.
CONCLUSIONS: The implementation of a clinical audit cycle has improved the quality of care of primary THA procedures for non-traumatic cause.
Предметные рубрики MeSH
AgedAged, 80 and overArthroplasty, Replacement, HipAwards and PrizesComorbidityFemaleHip DislocationHumansLength of StayMaleMedical AuditOsteoarthritis, HipPatient ReadmissionPostoperative ComplicationsProsthesis-Related InfectionsQuality ImprovementQuality Indicators, Health CareSpainSurgical Wound Infection