within 48 hoursData collection 2013Hip fracture surgery initiated within 48 hours after admission to the hospitalCoverage Patients aged 65 and older 5 year age groupNumerator Number of patients admitt ID: 894856
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1 Hip fracture surgery within 48 hours
Hip fracture surgery within 48 hours Data collection 2013: • Hip fracture surgery initiated within 48 hours after admission to the hospital • Coverage: Patients aged 65 and older (5 year age group) • Numerator: Number of patien
2 ts admitted to the hospital in a specif
ts admitted to the hospital in a specified year with a diagnosis of upper femur fracture with surgery initiated within 2 days or 48 hours of admission. • [Hip fracture diagnostic codes: ICD - 10 S72.0, S72.1, S72.2 or ICD - 9 820] • D
3 enominator: Number of patients admitted
enominator: Number of patients admitted to the hospital with a diagnosis of upper femur fracture and operated on for hip fracture in the specified year. Importance of the indicator • Sufficient evidence for validity and importance (sever
4 al studies and reviews) • lifetime
al studies and reviews) • lifetime risk of hip fracture is 18% in women and 6% in men • 1 in 5 die within one year, 4 require long - term care. • Several countries use the indicator in national reports • Indicator is also used by
5 healthcare inspectorates to assess pos
healthcare inspectorates to assess possible flaws in the quality of care in hospitals • Indicator is ‘actionable’ Problems with measuring time • Days vs hours • Two calendar days: a part is excluded that is operated on with
6 in 48 hours (underestimation) • Thr
in 48 hours (underestimation) • Three calendar days: a part is included that was operated between 48 and 72 hours (overestimation) • Possible practical solution: average of 2 and 3 days? Within 2 calendar days Within 48 hours Wi
7 thin 3 calendar days Advice for data c
thin 3 calendar days Advice for data collection • Collect data on: – Operated within 48 hours – Operated on day 0 – Operated on day 1 – Operated on day 2 – Operated on day 3 • Identify breaks in time series Other
8 issues • Which procedure codes were
issues • Which procedure codes were used? • Exclusion of conservatively treated patients • Exclusion of elective procedures • Exclusion of hip fractures that occur within hospitals Extra • Possible to break down by calendar