BACKGROUND: Little is known about @entity341 ( @entity341 ) quality of care for @entity2720 . We sought to determine concordance of @entity341 management of dislocation with guideline recommendations and to assess whether higher concordance was associated with better @entity1 outcomes. METHODS: We conducted a retrospective chart review study of @entity2720 as part of the National @entity341 Safety Study (www.emnet-usa.org). We identified all charts with a primary @entity341 or hospital discharge diagnosis of @entity2720 in 47 EDs across 19 US states between 2003 and 2005. Concordance with guideline recommendations was evaluated using 5 individual quality measures and composite guideline concordance scores. Concordance scores were calculated as the percentage of eligible @entity1 receiving guidelines-recommended care. These percentage scores were rescaled from 0 to 100, with 100 indicating perfect concordance. RESULTS: The cohort consisted of 1980 @entity341 @entity1 ; the @entity1 ' median age was 38 years, and 63% were @entity1 . Care for dislocation was excellent, with a concordance score of more than 85 across all quality measures. The median @entity341 composite guideline concordance score was 93 (interquartile range, 90-95). In multivariable analyses, receiving treatment in EDs with the highest (fourth quartile) composite guideline concordance scores was independently associated with a significantly higher likelihood of successful joint reduction (adjusted odds ratio, 3.28; 95% confidence interval, 1.38-7.81), as compared with treatment in EDs with the lowest (first quartile) scores. CONCLUSIONS: Concordance of @entity341 management of @entity2720 with guideline recommendations was high. Greater concordance with guideline-recommended care may increase the likelihood of successful joint reduction.

Quality of care for XXXX in 47 US EDs.

@entity2720 :: ('MESH:D007592', 'Disease') :: ['joint dislocation'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED']
@entity2720 :: (MESH:D007592,Disease) :: ['joint dislocation']
