Irish Hip Fracture Database National Report 2022

Irish Hip Fracture Database National Report 2022 Image

This is the tenth IHFD National Report which highlights a decade of advancements in hip fracture care for older adults in Ireland. With data coverage at 94% from 16 hospitals, and 3,909 cases included for 2022, this report provides a comprehensive overview of hip fracture cases in Ireland.

Key Findings

The proportion of patients mobilised on the day of or the day after surgery by a physiotherapist; improved significantly in 2022, with 86% of patients achieving this standard. Early mobilisation not only contributes to a shorter hospital stay but also enhances overall recovery, leading to improved outcomes. This underscores the pivotal role early mobilisation plays in further improving the standard of care for people recovering after hip fracture surgery. The proportion of patients who received a pre-operative nerve block has also improved to 78%. The report highlights positive strides in older patient care, with notable improvements in post-surgery mobilisation, pre-operative nerve block, and delirium screening. Yet, the observed variations across hospitals underscore the imperative for continuous quality improvement initiatives in healthcare.

Key Recommendations

​Recommendations For The National Office For Trauma Services, Hse

The National Office for Trauma Services will:

  • continue to use the data from the Irish Hip Fracture Database (IHFD) to support trauma care reorganisation and service planning for older patients and monitor the effect of changes in the trauma system as it evolves; and

  • continue to support the establishment and resourcing of orthogeriatric services in the 16 hospitals involved in the IHFD.

Recommendations For The Anti-microbial-resistance-infection-control (Amric) Acute Operations Health Service Executive

  • Explore resources required to expand data collection for surgical-site surveillance to 90 days.

Recommendations For National Office Of Clinical Audit

  • Continue to support the participating hospitals to enter high-quality data and expand the collection of longer-term outcome data.

  • Continue to promote the use of information within the IHFD national report to develop home safety, injury-prevention and health-promotion strategies.