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National Hip Fracture Database Annual Report 2012-13NHFD 2013 Annual Report Transparency

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Chart 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
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