Improving hip fracture care in Ireland: a preliminary report of the Irish Hip Fracture Database

Hdl Handle:
http://hdl.handle.net/10147/559254
Title:
Improving hip fracture care in Ireland: a preliminary report of the Irish Hip Fracture Database
Authors:
Ellanti, Prasad; Cushen, Breda; Galbraith, Adam; Brent, Louise; Hurson, Conor; Ahern, Emer
Publisher:
Journal of Osteoporosis
Journal:
Journal of Osteoporosis
Issue Date:
19-Nov-2014
URI:
http://hdl.handle.net/10147/559254
Item Type:
Article
Language:
en
Description:
Hip fractures are common injuries in the older persons, with significant associated morbidity and mortality. The Irish Hip Fracture Database (IHFD) was implemented to monitor standards of care against international standards. Methods. The IHFD is a clinically led web-based audit.We summarize the data collected on hip fractures from April 2012 to March 2013 from 8 centres. Results.There were 843 patients with themajority being (70%) female.The 80–89-year age group accounted for themajority of fractures (44%). Most (71%) sustained a fall at home. Intertrochanteric fractures (40%) were most common. Only 28% were admitted to an orthopaedic ward within 4 hours.Themajority (97%) underwent surgery with 44% having surgery within 36 hours. Medical optimization (35%) and lack of theatre space (26%) accounted for most of the surgical delay.While 29% were discharged home, 33% were discharged to a nursing home or other long-stay facilities.There was a 4% in-hospital mortality rate. Conclusions. Several key areas in both the database and aspects of patient care needing improvement have been highlighted.The implementation of similar databases has led to improved hip fracture care in other countries and we believe this can be replicated in Ireland.
Keywords:
HIP; FRACTURE

Full metadata record

DC FieldValue Language
dc.contributor.authorEllanti, Prasaden
dc.contributor.authorCushen, Bredaen
dc.contributor.authorGalbraith, Adamen
dc.contributor.authorBrent, Louiseen
dc.contributor.authorHurson, Conoren
dc.contributor.authorAhern, Emeren
dc.date.accessioned2015-07-08T12:19:38Zen
dc.date.available2015-07-08T12:19:38Zen
dc.date.issued2014-11-19en
dc.identifier.urihttp://hdl.handle.net/10147/559254en
dc.descriptionHip fractures are common injuries in the older persons, with significant associated morbidity and mortality. The Irish Hip Fracture Database (IHFD) was implemented to monitor standards of care against international standards. Methods. The IHFD is a clinically led web-based audit.We summarize the data collected on hip fractures from April 2012 to March 2013 from 8 centres. Results.There were 843 patients with themajority being (70%) female.The 80–89-year age group accounted for themajority of fractures (44%). Most (71%) sustained a fall at home. Intertrochanteric fractures (40%) were most common. Only 28% were admitted to an orthopaedic ward within 4 hours.Themajority (97%) underwent surgery with 44% having surgery within 36 hours. Medical optimization (35%) and lack of theatre space (26%) accounted for most of the surgical delay.While 29% were discharged home, 33% were discharged to a nursing home or other long-stay facilities.There was a 4% in-hospital mortality rate. Conclusions. Several key areas in both the database and aspects of patient care needing improvement have been highlighted.The implementation of similar databases has led to improved hip fracture care in other countries and we believe this can be replicated in Ireland.en
dc.language.isoenen
dc.publisherJournal of Osteoporosisen
dc.subjectHIPen
dc.subjectFRACTUREen
dc.titleImproving hip fracture care in Ireland: a preliminary report of the Irish Hip Fracture Databaseen
dc.typeArticleen
dc.identifier.journalJournal of Osteoporosisen
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