Completeness of Tibia Fracture Reoperation Registration in the Swedish Fracture Register at Sahlgrenska University Hospital during 2011-2015

Abstract

Abstract Degree Project Programme in Medicine Completeness of Tibia Fracture Reoperation Registration in the Swedish Fracture Register at Sahlgrenska University Hospital during 2011-2015 Amanda Selse, 2018. Sahlgrenska Academy at University of Gothenburg, Sweden Background: Since the start in 2011 tibial fractures have been registered in the Swedish Fracture Register (SFR). Since then, several improvements have been made and the routines to secure high completeness of the register are still being developed. Some previous validation studies have been performed but none of those has focused on reoperation registrations during several years. A study of the results after tibial fractures based on the data in the SFR is planned, why the present validation is needed. Aim: To validate the completeness of reoperation registration after tibial fractures during 2011-2015 in the SFR. Methods: Each patient in the SFR was controlled in the operation planning programme using their personal identity number and if any unregistered procedure was found the medical records were controlled for further information. All missed procedures were compiled into an SPSS-file and were retroactively registered into the SFR. Subsequently a new extract from the SFR was made which was used in the analyses together with the SPSS-file with the compiled missed procedures. Results: The completeness of reoperation registrations were 63.0%. The overall completeness of treatments in the register was 90.0%. Of the missed reoperation registrations, 44.7% were extraction of internal osteosynthesis material. Consultants in orthopaedic surgery with focus on fracture care had the highest completeness of registrations. 2 Conclusions: A high overall completeness in the SFR and a higher completeness of reoperation registration than previously shown is presented in this study. Retroactive registrations have completed the register of reoperations. Further studies will give more knowledge of the results of tibial fracture treatments, which will hopefully lead to improved quality of tibial fracture treatment.