• J C Valdés, M Videla, M Lafuente, E Henere, A Poal-Manresa, P Madrid, A Benet, and S Videla.
• Servicio de Cirugía Ortopédica y Traumatología, Hospital Dos de Maig, Consorci Sanitari Integral, Barcelona, España. rafael.monte.secades@sergas.es
• Rev Calid Asist. 2011 Mar 1;26(2):83-9.

BackgroundClinical audits are critical and systematic quality analysis of medical care. Total hip arthroplasty (THA) is a routine practice and cost-effective, although there is little information on the quality of care of it.ObjectiveTo evaluate the impact of a clinical audit cycle in the quality of care in the primary THA procedures for non-traumatic cause.Patients And MethodsA series of two audits (first audit in 2005 and second one in 2007) were performed. Patients of both sexes with non-traumatic primary THA and with a follow-up of 6 months were included. Time (days) in hospital stay and the rate (percentage) of readmissions were used as indicators of management; and as indicators of clinical practice: the index (percentage) of dislocation and the rate (percentage) of infection. Both audits were compared with respect to these indicators.ResultsA total of 160 patients (79 and 81, first and second audit respectively) were analysed. Management indicators: median (range) of hospital stay was 8 (7-78) and 7 (6-16), p<0.001, and the percentage of readmissions 5% (4/79) and 0 (0/81), p=0.057. Indicators of clinical practice: the rate of dislocation was 8% (6/79) and 0 (0/81), p=0.013, and the rate of infection 1% (1/79) and 1% (1/81), p=1. A multivariate analysis did not find other factors related to these indicators.ConclusionsThe implementation of a clinical audit cycle has improved the quality of care of primary THA procedures for non-traumatic cause.Copyright © 2010 SECA. Published by Elsevier Espana. All rights reserved.

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