RIKSHÖFT, the Swedish National Registry of hip fracture patient care was established in 1988 to collect nationwide information as a basis for improved management of patients with hip fractures. Patients with hip fracture are the group of all types of surgical diseases that consume most care throughout the continuum of care. Hip fractures are common. At the age 50, the risk of having a hip fracture during the remaining lifetime is 23% for women and 11% for men. Hip fractures including rehabilitation cost 2.3 billion Swedish crones annually in Sweden.
The registration of hip fracture patients is to report performance measures to compare and create consistent and high quality care in the country. The RIKSHÖFT registration is also a base for local improvements at different hospitals. Patients with a hip fracture have a mean age of just over 80 years and they often have other concomitant diseases. These frail patients require substantial resources for both health care and community care. Despite improvements in the treatment with shorter length of stay at the hospital, every fourth bed in Swedish orthopaedic departments is constantly occupied by a hip fracture patient.
With the increasing amount of elderly people in the society the amount of patients with hip fracture increases. With a close collaboration between hospital, primary care and community care with focus on active rehabilitation most patients can rapidly return to their own home and achieve the same level of function as before the fracture. The RIKSHÖFT registration includes a common and costly disease group with great social and health economic importance. In RIKSHÖFT, data is recorded about the patient, treatment, functional outcome and rehabilitation outcome