Table 1.

The Quality Indicators in the Multidisciplinary Hip Fracture Registry Through the Years

	Indicator Area	Indicator	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Process Performance Measures	Pain assessment	Daily systematic pain assessment using a visual analog scale or a numeric rating scale at rest and during mobilization	+	+	+	+	+	+	+	+	+
	Mobilization within 24 hours	Being mobilized within 24 hours postoperatively, defined as assisting the patient from bed rest to walking or rest in a chair					+	+	+	+	+	+a	+	+	+
	Assessment of nutrition risk	Assessment of patients BMI and nutritional risk within two days after admission.	+	+	+	+						+	+	+	+
	Osteoporotic medication	Evaluation of need of anti-osteoporotic medications, which includes continued anti-osteoporosis medication, no indication for treatment due to cancer or psychiatric condition or referring to DEXA scan					+	+	+	+	+	+	+	+	+
	Fall prevention	Initiation of treatment to prevent future fall accidents, including a fall risk assessment to account for co-existing medical conditions, medication, functional disability, symptoms from the central nervous system, musculoskeletal system and cardiopulmonary status					+	+	+	+	+	+	+	+	+
	Prevention of osteoporotic fractures	Initiation of treatment includes ordination of any anti-osteoporotic medications or calcium and d-vitamin or hip protectors	+	+	+	+
	Post discharge rehabilitation program	Post discharge rehabilitation program including assessment of activities of daily living (ADL) with a validated test before the fracture and again before discharge		+	+	+	+	+	+	+	+	+	+	+	+
	Assessment of functional level prior to admission	Basic mobility assessment using a validated test such as Cumulated Ambulation Score (CAS), Barthel 20, Functional Recovery score or New Mobility score. From 2013, only CAS is measured at admission.	+	+	+	+	+a	+	+	+a	+	+	+	+	+
	Assessment of functional level at discharge	Basic mobility assessment using a validated test such as Cumulated Ambulation Score (CAS), Barthel 20, Functional Recovery score or New Mobility score. From 2013, only CAS is measured prior to discharge	+	+	+	+	+	+	+	+	+	+	+	+	+
	Surgical delay	Patient had surgery within 24 hours after admission to hospital (from 2016, admission time was changed to arrival time)										+	+	+	+
		Patient had surgery within 36 hours after admission to hospital (from 2016, admission time was changed to arrival time)										+	+	+	+
	Preoperative optimization	Assessment by a medical specialist intending to do a preoperative optimization plan within four hours after arrival to the hospital.											+	+	+
Outcome Measures	30-day survival	Survival within 30 days after surgery date	+	+	+	+	+	+	+	+	+	+	+	+	+
	Reoperation within two years after osteosynthesis	Reoperation within two years among patients, who have had a medial femoral fracture treated with osteosynthesis regardless of fracture displacement	+	+	+	+	+	+	+	+	+	+	+	+	+
		Reoperation within two years among patients, who have had a medial undisplaced femoral fracture treated with osteosynthesis.	+	+	+	+	+	+	+	+	+	+	+	+	+
		Reoperation within two years among patients, who have had a medial displaced femoral fracture treated with osteosynthesis regardless of fracture displacement	+	+	+	+	+	+	+	+	+	+	+	+	+
		Reoperation within two years among patients, who have had a pertrochanter or subtrochanter femoral fracture treated with osteosynthesis.
	Reoperation within two years after alloplastic	Reoperation within two years among patients, who have had an alloplastic regardless of fracture type	+	+	+	+	+	+	+	+	+	+	+	+	+
	Reoperation within two years due to infection	Reoperation within two years due to deep infection	+	+	+	+	+	+	+	+	+	+	+	+	+
Acute readmission within 30-days after discharge	Acute readmission to any Danish hospital regardless of cause within 30 days after discharge with the hip fracture diagnosis											+	+	+

Note: ^aChange in data definitions.