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NHFD 2025 annual report small number suppressed

National Hip Fracture Database annual report 2025

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Year	Site code	Site name	Nation	Number of cases	Surgery on day of, or day after, admission (n)	Surgery on day of, or day after, admission (d)	Surgery on day of, or day after, admission (%)	Surgery supervised by consultant surgeon and anaesthetist (n)	Surgery supervised by consultant surgeon and anaesthetist (d)	Surgery supervised by consultant surgeon and anaesthetist (%)	General anaesthetic (n)	General anaesthetic (d)	General anaesthetic (%)	General anaesthetic and nerve block (of all GA)(n)	General anaesthetic and nerve block (of all GA) (d)	General anaesthetic and nerve block (of all GA) (%)	Spinal anaesthetic (n)	Spinal anaesthetic (d)	Spinal anaesthetic (%)	Spinal anaesthetic and nerve block (of all SA) (n)	Spinal anaesthetic and nerve block (of all SA) (d)	Spinal anaesthetic and nerve block (of all SA) (%)	Proportion of arthroplasties which are cemented (n)	Proportion of arthroplasties which are cemented (d)	Proportion of arthroplasties which are cemented (%)	Eligible displaced intracapsular fractures treated with THR (n)	Eligible displaced intracapsular fractures treated with THR (d)	Eligible displaced intracapsular fractures treated with THR (%)	Intertrochanteric fractures (excl. reverse oblique) treated with SHS (n)	Intertrochanteric fractures (excl. reverse oblique) treated with SHS (d)	Intertrochanteric fractures (excl. reverse oblique) treated with SHS (%)	Subtrochanteric fractures treated with an IM nail (n)	Subtrochanteric fractures treated with an IM nail (d)	Subtrochanteric fractures treated with an IM nail (%)	Admitted to orthopaedic ward within 4 hours with a nerve block (n)	Admitted to orthopaedic ward within 4 hours with a nerve block (d)	Admitted to orthopaedic ward within 4 hours with a nerve block (%)	Admitted to orthopaedic ward within 4 hours (n)	Admitted to orthopaedic ward within 4 hours (d)	Admitted to orthopaedic ward within 4 hours (%)	NICE compliant surgery (n)	NICE compliant surgery (d)	NICE compliant surgery (%)	Mental test score recorded on admission (n)	Mental test score recorded on admission (d)	Mental test score recorded on admission (%)	Perioperative medical assessment (n)	Perioperative medical assessment (d)	Perioperative medical assessment (%)	Physiotherapy assessment by the day after surgery (n)	Physiotherapy assessment by the day after surgery (d)	Physiotherapy assessment by the day after surgery (%)	Mobilised out of bed by the day after surgery (n)	Mobilised out of bed by the day after surgery (d)	Mobilised out of bed by the day after surgery (%)	Nutritional risk assessment (n)	Nutritional risk assessment (d)	Nutritional risk assessment (%)	Delirium assessment (n)	Delirium assessment (d)	Delirium assessment (%)	Not delirious when tested post-op. (n)	Not delirious when tested post-op. (d)	Not delirious when tested post-op. (%)	Received falls assessment (n)	Received falls assessment (d)	Received falls assessment (%)	Received bone health assessment (n)	Received bone health assessment (d)	Received bone health assessment (%)	Received suitable bone medication (n)	Received suitable bone medication (d)	Received suitable bone medication (%)	Met best practice criteria (n)	Met best practice criteria (d)	Met best practice criteria (%)	Case ascertainment: total cases compared to last year (n)	Case ascertainment: total cases compared to last year (d)	Case ascertainment: total cases compared to last year (%)	Acute length of stay (days)	Overall hospital length of stay (days)	Documented final discharge destination (n)	Documented final discharge destination (d)	Documented final discharge destination (%)	Discharge to original residence within 120 days (n)	Discharge to original residence within 120 days (d)	Discharge to original residence within 120 days (%)	Hip fractures which were sustained as an inpatient (n)	Hip fractures which were sustained as an inpatient (d)	Hip fractures which were sustained as an inpatient (%)	Documented not to have developed a pressure ulcer (n)	Documented not to have developed a pressure ulcer (d)	Documented not to have developed a pressure ulcer (%)	Documented not to have had a reoperation within 120 days (n)	Documented not to have had a reoperation within 120 days (d)	Documented not to have had a reoperation within 120 days (%)	120 day follow up (n)	120 day follow up (d)	120 day follow up (%)	Crude 30 day mortality rate (n)	Crude 30 day mortality rate (d)	Crude 30 day mortality rate (%)	Adjusted 30 day mortality rate (%)
2024	ADD	Addenbrooke's Hospital	England	535	289	521	56	449	521	86	424	521	81	380	424	90	88	521	17	64	88	73	284	285	100	20	138	15	128	175	73	20	24	83	93	511	18	117	511	23	344	520	66	518	535	97	525	535	98	510	521	98	489	521	94	535	535	100	517	521	99	462	521	89	530	535	99	528	535	99	411	535	77	279	521	54	535	506	106	17	17	510	535	95	425	535	79	21	535	4	531	535	99	0	535	0	411	497	83	34	535	6	5
2024	AEI	Royal Albert Edward Infirmary	England	357	217	353	62	331	353	94	104	353	30	7	104	7	258	353	73	44	258	17	192	194	99	13	70	19	25	33	76	16	18	89	10	346	3	18	346	5	279	352	79	352	357	99	335	357	94	349	353	99	290	353	82	344	357	96	347	353	98	273	353	77	353	357	99	353	357	99	267	357	75	194	353	55	357	368	97	16	23	345	357	97	280	357	78	10	357	3	303	357	85	191	357	54	270	326	83	21	357	6	5
2024	AIR	Airedale General Hospital	England	298	234	293	80	139	293	47	148	293	51	132	148	89	155	293	53	115	155	74	150	150	100	7	58	12	82	83	99	24	25	96	23	290	8	25	290	9	240	291	83	292	298	98	143	298	48	291	293	99	217	293	74	298	298	100	292	293	100	198	293	68	204	298	69	284	298	95	243	298	82	106	293	36	298	284	105	16	17	288	298	97	237	298	80	8	298	3	297	298	100	0	298	0	227	275	83	30	298	10	10
2024	BAR	Barnsley District General Hospital	England	321	234	313	75	146	313	47	196	313	63	127	196	65	125	313	40	82	125	66	177	178	99	10	53	19	71	89	80	15	20	75	121	306	40	138	306	45	239	311	77	307	321	96	305	321	95	305	313	97	238	313	76	310	321	97	303	313	97	213	313	68	313	321	98	318	321	99	183	321	57	213	313	68	321	354	91	13	18	317	321	99	274	321	85	14	321	4	297	321	93	192	321	60	239	295	81	30	321	9	8