PMID- 31615309
OWN - NLM
STAT- MEDLINE
DCOM- 20200427
LR  - 20240330
IS  - 1745-3682 (Electronic)
IS  - 1745-3674 (Print)
IS  - 1745-3674 (Linking)
VI  - 91
IP  - 1
DP  - 2020 Feb
TI  - Only 8% of major preventable adverse events after hip arthroplasty are filed as 
      claims: a Swedish multi-center cohort study on 1,998 patients.
PG  - 20-25
LID - 10.1080/17453674.2019.1677382 [doi]
AB  - Background and purpose - Hip arthroplasty is one of the most performed surgeries 
      in Sweden, and the rate of adverse events (AEs) is fairly high. All patients in 
      publicly financed healthcare in Sweden are insured by the Mutual Insurance 
      Company of Swedish County Councils (Lof). We assessed the proportion of patients 
      that sustained a major preventable AE and filed an AE claim to Lof.Patients and 
      methods - We performed retrospective record review using the Global Trigger Tool 
      to identify AEs in a Swedish multi-center cohort consisting of 1,998 patients 
      with a total or hemi hip arthroplasty. We compared the major preventable AEs with 
      all patient-reported claims to Lof from the same cohort and calculated the 
      proportion of filed claims.Results - We found 1,066 major preventable AEs in 744 
      patients. Lof received 62 claims for these AEs, resulting in a claim proportion 
      of 8%. 58 of the 62 claims were accepted by Lof and received compensation. The 
      claim proportion was 13% for the elective patients and 0.3% for the acute 
      patients. The most common AE for filing a claim was periprosthetic joint 
      infection; of the 150 infections found 37 were claimed.Interpretation - The 
      proportion of filed claims for major preventable AEs is very low, even for 
      obvious and serious AEs such as periprosthetic joint infection.
FAU - Magneli, Martin
AU  - Magneli M
AD  - Department of Clinical Sciences at Danderyd Hospital, Division of Orthopaedics, 
      Karolinska Institutet, Stockholm.
FAU - Unbeck, Maria
AU  - Unbeck M
AD  - Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 
      Stockholm.
FAU - Samuelsson, Bodil
AU  - Samuelsson B
AD  - Department of Clinical Sciences at Danderyd Hospital, Division of Orthopaedics, 
      Karolinska Institutet, Stockholm.
FAU - Rogmark, Cecilia
AU  - Rogmark C
AD  - Department of Clinical Sciences Malmo, Lund University Clinical and Molecular 
      Osteoporosis Research Unit, Malmo.
FAU - Rolfson, Ola
AU  - Rolfson O
AD  - Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, 
      University of Gothenburg, Molndal, Sweden.
FAU - Gordon, Max
AU  - Gordon M
AD  - Department of Clinical Sciences at Danderyd Hospital, Division of Orthopaedics, 
      Karolinska Institutet, Stockholm.
FAU - Skoldenberg, Olof
AU  - Skoldenberg O
AD  - Department of Clinical Sciences at Danderyd Hospital, Division of Orthopaedics, 
      Karolinska Institutet, Stockholm.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20191016
PL  - Sweden
TA  - Acta Orthop
JT  - Acta orthopaedica
JID - 101231512
SB  - IM
MH  - Accidental Falls/statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Hip/*statistics & numerical data
MH  - Cohort Studies
MH  - *Compensation and Redress
MH  - Female
MH  - Hemiarthroplasty
MH  - Hip Dislocation/*epidemiology
MH  - Humans
MH  - Leg Length Inequality/epidemiology
MH  - Liability, Legal
MH  - Male
MH  - Middle Aged
MH  - Peripheral Nerve Injuries/*epidemiology
MH  - Postoperative Complications/*epidemiology
MH  - Pressure Ulcer/epidemiology
MH  - Prosthesis-Related Infections/*epidemiology
MH  - Retrospective Studies
MH  - Sweden/epidemiology
MH  - Young Adult
PMC - PMC7006721
EDAT- 2019/10/17 06:00
MHDA- 2020/04/28 06:00
PMCR- 2019/10/16
CRDT- 2019/10/17 06:00
PHST- 2019/10/17 06:00 [pubmed]
PHST- 2020/04/28 06:00 [medline]
PHST- 2019/10/17 06:00 [entrez]
PHST- 2019/10/16 00:00 [pmc-release]
AID - 1677382 [pii]
AID - 10.1080/17453674.2019.1677382 [doi]
PST - ppublish
SO  - Acta Orthop. 2020 Feb;91(1):20-25. doi: 10.1080/17453674.2019.1677382. Epub 2019 
      Oct 16.