A hospital is not the other when considering the results of the care given, especially for hip prostheses placement, spring -it a study by the National Alliance of Christian Mutual Societies (TM) presented Wednesday. In some hospitals, the risk of a second operation is two or three times higher than in others. Each year, 20,500 Belgian patients are asking a hip prosthesis. The MC has reviewed 85,000 total hip replacements placed since 1990 in 84 hospitals in Belgium. Highlight, “the quality of care is not linked to the cost of benefits,” notes Jean Hermesse, general secretary of the MC. Yet in the placement of a hip prosthesis, costs vary from 591 euros to stay in a shared room at UZ Brussel Hospital, more than 7,000 euros for a single room at Cliniques Universitaires Saint-Luc (Brussels) . MC also analyzed the life of the prosthesis. In Belgium, a patient has a 95% chance to retain his prosthesis over ten years. But there are large differences between hospitals. One patient in the Mont-Godinne University Hospital, for example, nearly three times more likely to revise his prosthesis than average. In the north, the St. Vincent Hospital in Deinze gets the lowest score. At the hospital Our Lady of Lourdes Waregem, for cons, the patient three times less likely to have to replace his prosthesis.

Another indicator is the hospital stay duration. The median in Belgium is seven days for the placement of a hip prosthesis. But it varies from five (ex: the Saint-Luc clinic in Bouge) to 24 days (clinical at St. Josef St. Vith) in hospitals. Some 8% of patients are admitted to intensive care during their hospital stay. CHU Liège, for example, this rate rises to 42%, depending on the TM data.

The transfusion rate was also examined. Experts advise to limit transfusions because of certain risks (viruses, etc.). On average, a transfusion is performed in 17% of procedures. In five hospitals, the rate exceeds 40%. This is the first time that the findings of such a study are not anonymous and that the names of the hospitals are overtly mentioned. “The quality of interventions in Belgium is overall good, but there are large differences between hospitals,” explains Jean Hermesse. By openly communicating these differences, we hope to improve the overall quality of services. ”