IHFD National Report 2018

This sixth IHFD report details 3,751 hip fracture cases in patients aged 60 years and over, discharged by 16 hospitals in 2018, which accounts for 99% of all hip fracture cases nationally.

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Key Findings

This is the sixth Irish Hip Fracture Database (IHFD) National Report. The audit has gathered data on almost 18,000 hip fracture cases in Ireland since 2012.

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Key Recommendations

  • The IHFD team will further align our focus, recommendations and work to the Sláintecare programme to improve the quality of hip fracture care for people from home to home, promote health to prevent further falls and fractures, and provide timely access to care: “Right care, Right place, Right time, Right team”. We will continue to measure and publish our performance in order to inform and create a system that works for patients and the changing needs of the population.
  • Each hospital HFGC will engage in quality improvement, using the quarterly IHFD hospital and BPT reports to increase compliance with the IHFS.
  • Hospital HFGCs will focus on admitting patients to an orthopaedic ward or for surgery within four hours of presentation.
  • Hospital HFGCs will continue to develop multidisciplinary orthogeriatric services.
  • All hospitals will focus on increasing the number of patients assessed and mobilised by a physiotherapist on day one after surgery.
  • All healthcare staff should promote a culture of activity and functional independence among hip fracture patients and their carers.
  • Hospital HFGCs will focus on increasing the number of patients going home after a hip fracture and reducing the number of patients going into long-term care.
  • The IITOS will review the level of variation in types of implants, including cemented/uncemented prostheses and THRs being undertaken in the hip fracture population.
  • Hospitals will submit data in a timely manner to achieve 90% data coverage quarterly and annually.
  • NOCA will build robust data validation reports and provide improved quarterly reports for the IHFD to the participating hospitals.
  • NOCA will continue to progress the development of long-term outcome measures for the IHFD.
  • NOCA should increase the level of patient and public involvement in the development and progress of the IHFD.