IHFD Methodology

The IHFD collects data on hip fracture patients through a portal on the Hospital In-Patient Enquiry (HIPE) system in collaboration with the HPO. Data from the HIPE system, such as age, gender, admission source, etc., is merged with additional IHFD data.

    Inclusion Criteria

    Analysis is based on IHFD records as captured on the HIPE Portal software. It includes cases that were:

    (i) Discharged from 1 January 2017 to 31 December 2017 inclusive (the HIPE data file used was 2017_V17)
    (ii) Diagnosed on HIPE with either a hip fracture due to injury or with a specified type of fracture, other than periprosthetic, on IHFD add-on screens, and
    (iii) Aged 60 years or older.

    Exclusion Criteria

    (i) In IHFS 3, 5, and 6, patients who died as an inpatient are excluded from comparative analysis but are included in the rest of the report.

    Data Collection

    In each of the participating hospitals, the data are entered by local IHFD audit coordinators, with guidance and support from the local IHFD Clinical Lead and NOCA. Currently, all participating hospitals are providing data, but data entry continues to be challenging in some hospitals as very few audit coordinators are being provided with protected time to collect, enter, review, and utilise the data.

    The IHFD reports on data coverage, case mix, the patient’s pathway, outcomes, and specific hip fracture care standards,