irish hip fracture database national report 2016

• DOI: 10.25419/rcsi.16954888.v1
• Publication Date: 2021-01-01
• Authors: Ahern, Emer; Batorova, Dominika; Brent, Louise; Connolly, Aisling; Hurson, Conor; Sorensen, Jan; Committee, The Ir...; (NOCA), The Natio...
• Keywords: clinical care; Irish; FOS: Clinical medicine; clinical audit; audit; Orthopaedics; outcomes; Geriatrics and gerontology; 110308 Geriatrics and Gerontology; 3. Good health; governance; data; hip fracture; standards; Geriatrics and Gerontology; fracture care; Ireland; database; orthopaedics; 110314 Orthopaedics

This fourth IHFD report details 3,159 hip fracture cases in patients aged 60 years and over, discharged by 16 hospitals in 2016, which accounts for 86% of all hip fracture cases nationally*.This will be the first report to compare individual hospital performances across six clinical care standards.Since its inception in 2012 and with more than 10,000 patient records on the database, the IHFD is now a powerful resource.The IHFD has a clear focus on driving improvements in patient care and data quality.As a maturing database, its remit has naturally broadened and the ability of the database to influence other areas has also grown e.g. national service re-design, research etc.Improvements include:• All sixteen eligible hospitals in the Republic of Ireland are now recording data.• National service re-design e.g. trauma bypass for hip fractures.• Increase in percentage of patients admitted to an orthopaedic ward within 4 hours.• Increase in percentage of patients having surgery within 48 hours (75%).• 77% of patients were mobilised on the day of or day after surgery.• Increase in percentage of patients seen by a Geriatrician (56%).• More patients received a bone health (57%) and falls (54%) assessment to prevent further fallsand fractures.• Median length of stay has reduced to 12 days.• Coverage of hip fracture cases has increased to 86%.• Completeness of data has increased to 98%.• In 2018, a new KPI for hip fractures will be tested which will measure the percentage ofpatients with hip fractures who have surgery within 48 hours from time of first presentation.This KPI will use IHFD data as its source.The IHFD was invited to participate in a comparison of eight hip fracture registers from around the world. The paper was published in ‘Injury’ (Johansen et al., 2017). This collaboration across nations further strengthens the focus and power of such registries to drive better, safer care for hip fracture patients.