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- W2057383886 abstract "We read with interest the article by White et al. 1 on outcome by mode of anaesthesia for hip fracture surgery and would like to discuss our experience from the recent Anaesthesia Sprint Audit Project (ASAP). During ASAP, additional consultant anaesthetist-entered data about type of anaesthesia was uploaded to the National Hip Fracture Database (NHFD), in addition to the standard NHFD dataset, entered by an orthopaedic research co-ordinator, within which the type of anaesthesia was also recorded, therefore allowing us to compare data accuracy by both method. During the ASAP period, we uploaded full data for 100% of eligible cases, but found a discrepancy rate between the ASAP and NHFD data for type of anaesthesia involving 4/101 (4%) patients. Two patients were recorded as having had general anaesthesia when they received spinal anaesthesia, one (who died within 30 days postoperatively) was recorded as having had spinal anaesthesia despite having received general anaesthesia, and one was recorded as having had general + spinal anaesthesia when they received general anaesthesia with nerve block. We agree with the authors, therefore, that it is not possible to rule out inaccurate data collection as one of the causes for failure to demonstrate important differences between various anaesthetic techniques. Our experience reiterates the concerns of others 2-4 who have stressed the importance of active involvement of anaesthetists in order to reduce inaccuracies in the data collection and entry process. However, data collection and entry for just the three months of the ASAP collection period involved a considerable amount of consultant anaesthetic time, such as is probably unfeasible in the longer term. The aim of ASAP is to strengthen the evidence base for hip fracture anaesthesia, but the conclusions and future recommendations will rely heavily upon the accuracy of the data entered." @default.
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- W2057383886 date "2014-04-17" @default.
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- W2057383886 title "Anaesthetists and accurate database recording" @default.
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- W2057383886 doi "https://doi.org/10.1111/anae.12673" @default.
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