Intended for healthcare professionals

Letters Hip replacement outcomes

Understanding patient flow is necessary to determine hospital level outcomes

BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m1161 (Published 25 March 2020) Cite this as: BMJ 2020;368:m1161
  1. Adam M Ali, Frank Knox fellow1,
  2. Alex Bottle, professor of medical statistics2
  1. 1Harvard University, Cambridge, MA 02138, USA
  2. 2Dr Foster Unit, Imperial College London, London, UK
  1. adamali{at}post.harvard.edu

When considering hospital level outcomes after total hip replacement, we must remember that serious postoperative complications (such as dislocation, periprosthetic fracture, infection, deep vein thrombosis) often present to an NHS hospital, through the emergency department, even when the primary procedure was undertaken in the private sector. …

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