Quality of care for patients with a fracture of the hip in major trauma centres: a national observational study

摘要

This study aimed to determine whether designation as a Major Trauma Centre (MTC) affects the quality of hip fracture care. All cases within the UK National Hip Fracture Database between April 2010 and December 2013 were included. The care quality measures were time to arrival on an orthopaedic ward, geriatrician review, and to operation. The clinical outcomes were development of pressure sores, discharge home, length of stay, in-hospital mortality, and re-operation within 30 days. There were 289,466 patients, 49,350 of which were treated in hospitals that are now MTCs. Within multivariable logistic and generalised linear regression models, there were no significant differences across any of the care quality indicators or clinical outcomes. These findings suggest that regionalisation of major trauma in England did not improve or compromise the overall care of older adults with hip fractures.