The Irish Hip Fracture Database National Report 2015 was published at the 5th National Irish Hip Fracture Conference, 2nd November 2016.
Hip fractures are one of the most serious injuries resulting from a fall. They cause high levels of disability and mortality and most commonly occur in people aged 80 and over. The National Office of Clinical Audit (NOCA) and Irish Hip Fracture Database (IHFD) launched the Irish Hip Fracture Database National Report 2015 at the 5th National Hip Fracture Conference in the Royal College of Surgeons in Ireland. The purpose of the National IHFD 2015 report is to measure the care we deliver to hip fracture patients in all 16 trauma receiving hospitals in the Republic of Ireland. There is good evidence to show that the combination of care standards, clinical audit and feedback can significantly improve the outcomes of hip fracture patients. This report informs policymakers, hospital management and a wide range of healthcare professionals about how well hip fracture care is delivered in Irish hospitals. It also, importantly, informs patients about what standard of care to expect when they are hospitalised with a broken hip.
Last year, in Ireland, 3,591 patients aged 60 years or over were hospitalised following a hip fracture. The IHFD captured clinical audit data for 81% of all hip fracture cases nationally. With an ageing population, the IHFD is the catalyst towards addressing what is a significantly growing healthcare and societal challenge. Using this data at a local level, each hospital can improve the quality of care they deliver and nationally this data enables strategic planning for the future development of care for older people in Ireland. This report is the most comprehensive report published so far from the IHFD and includes all 16 trauma receiving hospitals and a national facilities audit also. The mission statement of the IHFD is to optimise the surgical, medical, nursing, rehabilitation and secondary prevention care for all hip fracture patients.
- In 2015, 72% of medically fit patients received surgery within 48 hours and during normal working hours – this is an increase of 3 percentage points compared with 2014.
- Nine percent (9%) of patients went directly from the emergency department to theatre.
- Patients who do not present directly to the ED in an operating hospital spend an average of two days longer in hospitals than those patients who present directly. Therefore, we are recommending that all suspected hip fracture patients should be brought directly to a trauma operating hospital.
To read the report, click on the image below.
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