Feasibility of using administrative data for identifying medical reasons to delay hip fracture surgery: a Canadian database study.

ABSTRACT:

Purpose

Failure to account for medically necessary delays may lead to an underestimation of early surgery benefits. This study investigated the feasibility of using administrative data to identify the National Institute for Health and Care Excellence (NICE) 124 guideline list of conditions that appropriately delay hip fracture surgery.

Methods

We assembled a list of diagnosis and procedure codes to reflect the NICE 124 conditions. The list was reviewed and updated by an advanced clinical coder. The list was refined by five clinical experts. We then screened Canadian Institute for Health Information discharge abstracts for 153 918 patients surgically treated for a non-pathological first hip fracture between 1 January 2004 and 31 December 2012 for diagnosis codes present on ad

SUBMITTER: Guy P 

PROVIDER: S-EPMC5640061 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature