Development of a data-driven case-mix adjustment model for comparison of hospital performance in hip fracture care.

ABSTRACT: To compare hospitals' hip fracture patient mortality in a quality of care registry, correction for patient characteristics is needed. This study evaluates in 39,374 patients which characteristics are associated with 30 and 90-day mortality, and showed how using these characteristics in a case mix-model changes hospital comparisons within the Netherlands.

Purpose

Mortality rates after hip fracture surgery are considerable and may be influenced by patient characteristics. This study aims to evaluate hospital variation regarding patient demographics and disease burden, to develop a case-mix adjustment model to analyse differences in hip fracture patients' mortality to calculate case-mix adjusted hospital-specific mortality rates.

Methods

Data were derived from 64 hospitals parti

SUBMITTER: Wurdemann FS 

PROVIDER: S-EPMC9046354 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature