orthopedics-2019-posters-abstracts

Page 42

November 13-14, 2019 | London, UK

ORTHOPEDICS, OSTEOPOROSIS & TRAUMA

International Conference on

Journal of Orthopaedics Trauma Surgery and

Related Research

Orthopedics 2019

November 13-14, 2019

J Orthop Trauma Surg Rel Res, Volume 14

Volume: 14 | ISSN: 1897-2276

Identification of indicators to assess the variation in Fragile Hip Fractures (FHF)

recovery: A European Pathway Association study

Cedric Slock

University of Leuven, Belgium

Statement of the problem

: Fragile Hip Fractures (FHF) have a devastating impact on the elderly, are regarded as a major public

health concern and remain to be associated with excessive short-and long-term mortality. McGlynns’ landmark study showed that

only 22.8% of recommended care was given to hip fracture patients. Surprisingly, there remains to be heterogeneity in adherence

to clinical guidelines within and between hospitals, resulting in suboptimal patient care and patient outcomes throughout Europe

even though it has been shown that optimal FHF care can result in improved patient outcomes and cost-savings. In addition,

tailored multidisciplinary clinical pathways and programmes can improve patient outcomes. Nonetheless its potential to improve

outcomes and adherence to guidelines, it remains unclear why improved compliance to evidence based key interventions does

not always lead to improved patient outcomes. Therefore, this study aims to assess the variation within and between European

organization that provide care for FHF patients.

Methods

: Amultimethod design was used by 15 European hospitals involved in FHF care, to develop a set of FHF care pathway

indicators. The development process is supervised by the European Pathway Association.

Findings

: A literature review was presented during a 2-day expert panel in May 2019. The outcome of this consensus meeting

is a set of 16 process and 8 structure indicators. These indicators will help the teams in understanding, benchmarking and

enhancing the rapid recovery pathway for FHF. The next step is a retrospective analysis of 450 patient records (30 in each of

the 15 participating centres). This analysis will provide the necessary data to benchmark the organization of care within and

between these 15 European trauma centres. Based on the feedback report the trauma centres will be able to further improve their

organization of care.

Biography

Cedric Slock is a physiotherapist and health services researcher. He works as research assistant at the Leuven Institute of Healthcare

policy at KU Leuven. He is the project officer of the Fragile Fracture Pathway Study under the lead of the European Pathway Association.

This European multicentre study is funded by Zimmer Biomet with an unrestricted grant to the E-P-A.