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National Hip Fracture Database Annual Report 2012-13
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Download this fileChart 1:% data complete | Chart 1:% data incomplete | Chart 2:Number of cases included in chart | Chart 2:Admitted from Other | Chart 2:Admitted from Own home/sheltered housing | Chart 2:Admitted from Residential care | Chart 2:Admitted from Nursing care | Chart 2:Admitted from Rehabilitation unit | Chart 2:Admitted from Acute hospital | Chart 2:Admitted from Already in hospital | Chart 3a:Number of cases included in chart | Chart 3a:Pre -op AMTS 0-6 | Chart 3a:Pre op AMTS 7-10 | Chart 3a:Pre op AMTS Unknown | Chart 3b:Number of cases included in chart | Chart 3b:Post op AMTS 0-6 | Chart 3b:Post op AMTS 7-10 | Chart 3b:Post op AMTS Unknown | Chart 4:Number of cases included in chart | Chart 4:Orth ward admission within 4 hours | Chart4:Orth ward admission after 4 hours | Chart 4:Not admitted to orth ward | Chart 4:Time to ortho ward Unknown | Chart 5:Number of cases included in chart | Chart 5:GA only (n) | Chart 5:GA + nerve block (n) | Chart 5:GA + epidural anaesthesia (n) | Chart 5:GA + spinal anaesthesia (n) | Chart 5:Spinal Anaesthesia only (n) | Chart 5:SA + epidural (CSE) (n) | Chart 5:SA + nerve block (n) | Chart 5:Anaesthetic Other (n) | Chart 5:Anaesthetic Unknown (n) | Chart 6:Number of cases included in chart | Chart 6:Surgery within 36 hours (n) | Chart 6:Surgery after 36 hours (n) | Chart 6:No operation performed (n) | Chart 6:Unknown time to surgery (36 hours) (n) | Chart 7:Number of cases included in chart | Chart 7:Surgery on day of; or day after; admission (n) | Chart 7:Surgery two or more calendar days after admission (n) | Chart 7:Unknown time to surgery (day or next day) (n) | Chart 8:Number of cases included in chart | Chart 8:Surgery within 48 hours & during working hours (n) | Chart 8:Surgery within 48 hours but not during working hours (n) | Chart 8:Surgery not within 48 hours (n) | Chart 8:Unknown time to surgery (48 hours)(n) | Chart 9: Number of cases included in chart | Chart 9:Medically unfit - awaiting medical review investigation or stabilisation (n) | Chart 9:Medically unfit - awaiting orthopaedic diagnosis or investigation (n) | Chart 9:Admin/logistic - awaiting space on theatre list (n) | Chart 9:Admin/logistic - cancelled due to list over-run (n) | Chart 9:Admin/logistic - problem with theatre/surgical/anaesthetic staff cover (n) | Chart 9:Admin/logistic - problem with theatre/equipment (n) | Chart 9:Admin/logistic - awaiting inpatient or high dependency bed (n) | Chart 9:Other delay to surgery (n) | Chart 9:Unknowndelay to surgery (n) | Chart 11:Number of cases included in chart | Chart 11:Patients undergoing Surgery (n) | Chart 11:No surgery (n) | Chart 11:Unknown surgery (n) | Chart 12:Number of cases included in chart | Chart 12:Undisplaced intracapsular Arthroplasty Unipolar hemi (cemented) (n) | Chart 12:Undisplaced intracapsular Arthroplasty Unipolar hemi (uncemented) (n) | Chart 12:Undisplaced intracapsular Arthroplasty Bipolar hemi (cemented) (n) | Chart 12:Undisplaced intracapsular Arthroplasty Other (n) | Chart 12:Undisplaced intracapsular Internal fixation SHS (n) | Chart 12:Undisplaced intracapsular Internal fixation Screws (n) | Chart 12:Undisplaced intracapsular Other (n) | Chart 12:Undisplaced intracapsular No operation performed (n) | Chart 12:Undisplaced intracapsular Unknown (n) | Chart 13:Number of cases included in chart | Chart 13:Displaced intracapsular Arthroplasty Unipolar hemi (cemented) (n) | Chart 13:Displaced intracapsular Arthroplasty Unipolar hemi (uncemented) (n) | Chart 13:Displaced intracapsular Arthroplasty Bipolar hemi (cemented) (n) | Chart 13:Displaced intracapsular Arthroplasty Other (n) | Chart 13:Displaced intracapsular Internal fixation SHS (n) | Chart 13:Displaced intracapsular Internal fixation Screws (n) | Chart 13:Displaced intracapsular Other (n) | Chart 13:Displaced intracapsular No operation performed (n) | Chart 13:Displaced intracapsular Unknown (n) | Chart 14:Number of cases included in chart | Chart 14:Arthroplasties Cemented (n) | Chart 14:Arthroplasties Uncemented (n) | Chart 15:Number of cases included in chart | Chart 15:Total hip replacement displaced intracapsular(n) | Chart 15:Other operation displaced intracapsular (n) | Chart 16:Number of cases included in chart | Chart 16:Intertrochanteric Internal fixation SHS (n) | Chart 16:Intertrochanteric Internal fixation IM nail (long) (n) | Chart 16:Intertrochanteric Internal fixation IM nail (short) (n) | Chart 16:Intertrochanteric Internal fixation Screws (n) | Chart 16:Intertrochanteric Arthroplasty (n) | Chart 16:Intertrochanteric Other (n) | Chart 16:Intertrochanteric No operation performed (n) | Chart 16:Intertrochanteric Unknown (n) | Chart 17:Number of cases included in chart | Chart 17:Subtrochanteric Internal fixation SHS (n) | Chart 17:Subtrochanteric Internal fixation IM nail (long) (n) | Chart 17:Subtrochanteric Internal fixation IM nail (short) (n) | Chart 17:Subtrochanteric Internal fixation Screws (n) | Chart 17:Subtrochanteric Arthroplasty (n) | Chart 17:Subtrochanteric Other (n) | Chart 17:Subtrochanteric No operation performed (n) | Chart 17:Subtrochanteric Unknown (n) | Chart 18:Number of cases included in chart | Chart 18:Pressure ulcers (n) | Chart 18:No pressure ulcers (n) | Chart 18:Pressure ulcers Unknown (n) | Chart 19:Number of cases included in chart | Chart 19:Already under care of geriatrician or physician (n) | Chart 19:Routine by geriatrician (n) | Chart 19:Routine by physician (n) | Chart 19:Routine by specialist nurse (n) | Chart 19:Medical review following request (n) | Chart 19:No medical assessment (n) | Chart 19:Medical assessment Unknown (n) | Chart 20:Number of cases included in chart | Chart 20:Bone protection medication Continued from pre-admission (n) | Chart 20:Bone protection medication Started on this admission (n) | Chart 20:Awaits DXA scan (n) | Chart 20:Awaits bone clinic assessment (n) | Chart 20:Assessed - no bone protection medication needed or appropriate (n) | Chart 20:No bone health assessment (n) | Chart 20:Bone health assessment Unknown (n) | Chart 21:Number of cases included in chart | Chart 21:Falls assessment Yes - performed on this admission (n) | Chart 21:Falls assessment Yes - awaits falls clinic assessment (n) | Chart 21:Falls assessment Yes - further intervention not appropriate (n) | Chart 21:No falls assessment (n) | Chart 21:Falls assessment Unknown (n) | Chart 22:Numer of cases included in chart | Chart 22:Mean length of acute stay | Chart 22:Mean length of post acute stay | Chart 23:Number of cases included in chart | Chart 23:Mean.acute | Chart 23:Mean.post.acute | Chart 23:Mean.rehab | Chart 24:Discharge destination Rehabilitation unit (n) | Chart 24:Discharge destination Acute hospital (n) | Chart 24:Discharge destination Residential care (n) | Chart 24:Discharge destination Nursing care (n) | Chart 24:Discharge destination Dead (n) | Chart 24:Discharge destination Other (n) | Chart 24:Discharge destination Unknown (n) | Chart 25:Number of cases included in chart | Chart 25:Re-operation within 30 days (n) | Chart 25:No re-operation within 30 days (n) | Chart 25:Reoperated Unknown (n) | Chart 26:Number of fields included in chart | Chart 26:30 day follow up Complete (n) | Chart 26:30 day follow up Not complete (n) | Chart 27:Number of fields included in chart | Chart 27:120 day follow up Complete (n) | Chart 27:120 day follow up Not complete (n) | Chart 28:No. of cases eligible for return home from home analysis | Chart 28:Raw percentage of eligible cases returned home at 30 days | Chart 28:Adjusted percentage of eligible cases returned home at 30 days | Chart 29:No. of cases eligible for mortality analysis | Chart 29:Raw mortality at 30 days | Chart 29:Adjusted mortality at 30 days | Chart 33:Number of cases included in chart | Chart 33:BPT Eligible - met all 9 criteria (n) | Chart 33:BPT Ineligible - met 8 criteria (n) | Chart 33:BPT Ineligible - met 7 criteria (n) | Chart 33:BPT Ineligible - met 6 criteria (n) | Chart 33:BPT Ineligible - met 5 criteria (n) | Chart 33:BPT Ineligible - met 4 criteria (n) | Chart 33:BPT Ineligible - met 3 criteria (n) | Chart 33:BPT Ineligible - met 2 criteria (n) | Chart 33:BPT Ineligible - met 1 criteria (n) | Regional BPT Charts: Percentage achievement Q1 | Regional BPT Charts: Percentage achievement Q2 | Regional BPT Charts: Percentage achievement Q3 | Regional BPT Charts: Percentage achievement Q4 | Summary table:Estimated number of hip fractures (Facilities Audit) | Summary table:Number of cases submitted | Summary table:% case ascertainment | Summary table:% Data completeness of reporting fields | Summary table:% Admitted to orthopaedic care within 4hrs (BB Std. 1) | Summary table:% Surgery within 48hrs (BB Std 2) | Summary table:% Pre-operative assessment by geriatrician (BB Std 3) | Summary table:% Patients developing pressure ulcers (BB Std 4) | Summary table:% Bone health medication assessment (BB Std 5) | Summary table:% Falls assessment (BB Std 6) | Summary table:Mean length of acute stay (days) | Summary table:Standard deviation length of acute stay (days) | Summary table:Mean length of post-acute stay (days) | Summary table:Standard deviation length of post-acute stay (days) | Summary table:Mean total length of stay - acute + post-acute (days) | Summary table:Standard deviation total length of stay - acute + post-acute (days | Facilities audit:Trauma catchment poulation | Facilities audit:Number of hip fractures treated per annum | Facilities audit:Trauma service description | Facilities audit:Hours of designated trauma per week | Facilities audit:Number of WTE orthopaedic consultants | Facilities audit:Number of WTE orthopaedic middle grades | Facilities audit:Orthogeriatric consultant hours per week | Facilities audit:Orthogeriatric middle grade hours per week | Facilities audit:Orthogeriatric ward rounds per week | Facilities audit:Number of WTE fragility fracture nurses per week | Facilities audit:Number of WTE fracture liaison nurses per week | Facilities audit:Falls clinic | Facilities audit:DXA on site facility | Facilities audit:Data collected by | Facilities audit:Data entered by | Facilities audit:Where is rehabilitation done | |
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ADD | 94.44 | 5.56 | 450 | * | 329 | 77 | 22 | * | 0 | 17 | 450 | 168 | 278 | * | 450 | 148 | 270 | 32 | 450 | 261 | 167 | 8 | 14 | 450 | 400 | * | 0 | * | 43 | * | 0 | 0 | * | 450 | 281 | 165 | * | * | 450 | 284 | 163 | * | 431 | 356 | * | 72 | * | 165 | 30 | * | 123 | 0 | * | 0 | * | * | * | 450 | 448 | * | 0 | 40 | * | 0 | 0 | * | 7 | 28 | 0 | 0 | 0 | 225 | 156 | 9 | 8 | 22 | 27 | * | 0 | * | 0 | 202 | 193 | 9 | 90 | 19 | 71 | 164 | 147 | 14 | * | 0 | 0 | 0 | 0 | 0 | 19 | * | 17 | 0 | 0 | 0 | 0 | 0 | 0 | 423 | 18 | 396 | 9 | 450 | 12 | 367 | * | * | * | 60 | * | 423 | 48 | 353 | 14 | 0 | 8 | 0 | 0 | 423 | 419 | * | * | * | 0 | 426 | 16.45774648 | * | 417 | 15.8 | * | * | 59 | * | 54 | 47 | 27 | * | 0 | 432 | * | 0 | 429 | 2436 | 18 | 2418 | 2412 | 0 | 2412 | 24 | 0 | 0 | 439 | 9.3 | 9.8 | 434 | 263 | 156 | 9 | * | 0 | * | * | 0 | 0 | 57 | 57 | 52 | 69 | 480 | 450 | 93.8 | 94.5 | 59.9 | 83 | 84.6 | * | 96.7 | 99.8 | 16.5 | 10.3 | * | * | 16.7 | 10.7 | 350000 | 480 | Both | 60 | 14.5 | 10 | 32 | 0 | * | * | * | Con | Axial | Doctors | Admin | Ward |
AEI | 97.39 | * | 316 | * | 209 | 51 | 37 | * | 0 | 12 | 316 | 127 | 186 | * | 316 | 123 | 174 | 19 | 316 | 53 | 231 | * | 27 | 316 | 152 | 52 | * | * | 79 | * | 12 | * | 15 | 316 | 249 | 53 | 13 | * | 316 | 247 | 55 | * | 293 | 266 | 0 | 26 | * | 53 | 28 | 7 | 6 | * | 0 | * | 0 | 6 | 0 | 316 | 303 | 13 | 0 | 26 | * | 0 | * | 0 | * | 16 | * | 0 | 0 | 140 | 85 | 13 | 15 | 12 | 0 | 6 | 0 | 9 | 0 | 133 | 119 | 14 | 47 | 11 | 36 | 127 | 116 | * | * | 0 | * | * | * | 0 | 21 | * | 16 | * | 0 | 0 | 0 | * | 0 | 281 | 9 | 271 | * | 316 | 8 | 152 | * | 0 | 9 | 146 | 0 | 281 | 33 | 225 | 7 | * | 12 | 0 | * | 281 | 277 | 0 | * | * | 0 | 293 | 15.81228669 | * | 317 | 17.4 | * | * | 97 | * | 32 | 49 | 35 | * | 0 | 285 | * | 242 | 38 | 1734 | 1298 | 436 | 1458 | 1299 | 159 | 211 | 47.9 | 50.2 | 312 | 11.5 | 10 | 298 | 200 | 75 | 17 | * | * | * | 0 | 0 | 0 | 73 | 69 | 61 | 60 | 330 | 316 | 95.8 | 97.4 | 18.3 | 91.1 | 50.6 | * | 96.4 | 98.9 | 15.8 | 10 | * | 8.2 | 16.9 | 13.2 | 310000 | 330 | DGH | 7 | 8 | 8 | 20 | 0 | * | 0 | 0 | Con | Axial | Nurses | Nurses | Ward |
AIR | 94.24 | 5.76 | 275 | 6 | 197 | 32 | 34 | * | 0 | * | 275 | 96 | 170 | 9 | 275 | 92 | 174 | 9 | 275 | 131 | 117 | 8 | 19 | 275 | 90 | 62 | 0 | 12 | 89 | 0 | 15 | * | 6 | 275 | 229 | 42 | * | 0 | 275 | 229 | 42 | 0 | 266 | 238 | * | 24 | 0 | 42 | 16 | * | 13 | * | * | 0 | 0 | * | 6 | 275 | 271 | * | 0 | 40 | 11 | 0 | 13 | * | * | 8 | 0 | 0 | 0 | 105 | 22 | * | 46 | 19 | * | * | * | * | 0 | 126 | 115 | 11 | 44 | 12 | 32 | 110 | 91 | * | 7 | * | 7 | 0 | * | 0 | 18 | * | * | 10 | 0 | 0 | 0 | 0 | 0 | 254 | 7 | 245 | * | 275 | * | 146 | * | 0 | 0 | 121 | 0 | 254 | 30 | 202 | 15 | 0 | * | * | 0 | 254 | 251 | 0 | * | 0 | * | 265 | 17.58490566 | * | 272 | 15.3 | * | * | 56 | * | 20 | 31 | 19 | 7 | 0 | 269 | 0 | 8 | 261 | 1650 | 0 | 1650 | 1620 | 0 | 1620 | 12 | 0 | 0 | 290 | 8.6 | 8.9 | 273 | 207 | 50 | 13 | * | * | 0 | 0 | * | 0 | 79 | 74 | 67 | 80 | 270 | 275 | 101.9 | 94.2 | 51.2 | 89.5 | 54.5 | * | 93.3 | 100 | 17.6 | 13.6 | * | * | 18.4 | 13.4 | 220000 | 270 | DGH | 20 | 7 | 6 | 12 | 0 | * | 0 | * | Con | Axial | Doctors | Audit | Ward |
ASH | 98.19 | * | 333 | * | 218 | 81 | 12 | * | 0 | 16 | 333 | 150 | 181 | * | 333 | 146 | 173 | 14 | 333 | 218 | 106 | * | * | 333 | 112 | 37 | * | 18 | 146 | 0 | * | * | 11 | 333 | 303 | 19 | 11 | 0 | 333 | 302 | 20 | 0 | 306 | 297 | * | 8 | 0 | 19 | 11 | 6 | 0 | 0 | 0 | 0 | 0 | * | 0 | 333 | 322 | 11 | 0 | 16 | * | 0 | 0 | * | 7 | * | 0 | * | 0 | 176 | 147 | 0 | 8 | 11 | * | * | * | 6 | 0 | 170 | 170 | 0 | 46 | 8 | 38 | 118 | 114 | * | 0 | 0 | 0 | * | 0 | 0 | 21 | 0 | 19 | 0 | 0 | 0 | 0 | * | 0 | 297 | 8 | 289 | 0 | 333 | 18 | 178 | 0 | 0 | 0 | 137 | 0 | 297 | 46 | 127 | 20 | * | 102 | * | 0 | 297 | 294 | * | * | * | 0 | 295 | 10.01694915 | 20.64067797 | 320 | 9.5 | 17.2 | 0 | * | * | 69 | 26 | 35 | * | 0 | 291 | * | 286 | 0 | 1836 | 1144 | 692 | 1704 | * | 1702 | 212 | 51.9 | 52.3 | 337 | 9.5 | 9.4 | 299 | 270 | 25 | * | 0 | * | * | 0 | 0 | 0 | 91 | 87 | 88 | 95 | 350 | 333 | 95.1 | 98.2 | 66.5 | 97.1 | 58.9 | * | 92.6 | 99.7 | 10 | 7.4 | 20.64 | 23 | 30.7 | 24.4 | 250000 | 350 | DGH | 44 | 9 | 9 | 8 | 40 | * | * | 0 | Con | None | Nurses | Nurses | GORU |