IHFD National Report 2017 Key Findings

Key Findings
Data coverage of 95% was achieved for this report, which represents an increase of 9% since 2016.
There continues to be variation in the standards of care provided at individual hospital level.
Ninety-two percent of patients are being brought directly to the hospital where they will be operated on. The increase in the number of such patients follows the successful implementation of the hip fracture bypass initiative by the Clinical Programme for Trauma and Orthopaedic Surgery in conjunction with the Health Service Executive (HSE) Acute Hospitals Division and the National Ambulance Service.
Compliance with IHFS 1 (percentage of patients admitted to the orthopaedic ward or direct to theatre from ED within four hours) remains low, with only 11% of patients admitted to an orthopaedic ward within four hours.
Fourteen participating hospitals reduced their pressure ulcer incidence (IHFS 3) in 2017; a decrease from 5% in 2016 to 3% in 2017.
In 2017, fewer patients were reviewed by a Geriatrician (50%), fewer had a bone health assessment (73%), and fewer received a specialist falls assessment (47%) compared with the numbers recorded in 2016.
Key indicators associated with patients being discharged home include: (i) Having a Lower American Society of Anesthesiologists (ASA) Grade (ASA 1 = Healthy person; ASA 2 = Mild systemic disease; ASA 3 = Severe systemic disease; ASA 4 = Severe systemic disease that is a constant threat to life; ASA 5 = A moribund person who is not expected to survive without the operation) (ii) Having a high pre-fracture functional level (defined by new mobility score (NMS). (iii) Receiving surgery within 48 hours. (iv) Being younger.