| Περίληψη: | Objective: To explore whether older adults with isolated hip fractures benefit from treatment in high-volume hospitals.<br/> Design: Population-based observational study.<br/> Setting: All acute hospitals in California, USA.<br/> Participants: All individuals aged >65 that underwent an operation for an isolated hip fracture in California between 2007 and 2011. Patients transferred between hospitals were excluded.<br/> Primary and secondary outcomes: Quality indicators (time to surgery) and patient outcomes (length of stay, in-hospital mortality, unplanned 30-day re-admission, and selected complications).<br/> Results: 91,401 individuals satisfied the inclusion criteria. Time to operation and length of stay were significantly prolonged in low volume hospitals, by 1.96 (95% CI 1.20-2.73) and 0.70 (0.38-1.03) days respectively. However, there were no differences in clinical outcomes, including in-hospital mortality, 30-day re-admission, and rates of pneumonia, pressure ulcers, and venous thromboembolism.<br/> Conclusion: These data suggest that there is no patient safety imperative to limit hip fracture care to high-volume hospitals.
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