Hip fracture care clinical care standard indicators: 5c-Proportion of patients with a hip fracture experiencing a new Stage II or higher pressure injury during their hospital stay
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | Indicator 5c-Proportion of patients with a hip fracture experiencing a new Stage II or higher pressure injury during their hospital stay |
METEOR identifier: | 628233 |
Registration status: | Health, Standard 12/09/2016 |
Description: | Proportion of patients with a hip fracture experiencing a new Stage II or higher pressure injury during their hospital stay. |
Rationale: | Pressure injuries are common but potentially preventable complications following hip fracture (Baumgarten et al. 2003; Reddy et al. 2006). They can have substantial negative effects in terms of pain, quality of life, length of hospital stay, cost of care, medical complications, and mortality (Baumgarten et al. 2003; Reddy et al. 2006). |
Indicator set: | Clinical care standard indicators: hip fracture Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018 Health, Standard 12/09/2016 |
Outcome area: | Mobilisation and weight-bearing Health, Standard 12/09/2016 |
Collection and usage attributes | |||||||||||||||||||
Computation description: | The numerator includes patients with a hip fracture with a new pressure injury(s) acquired during their stay in hospital for the treatment of their hip fracture. Pressure injuries are as per ICD-10-AM classification, where Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} is one of the codes in the table below, and Episode of admitted patient care—condition onset flag, code N = 1 Condition with onset during the episode of admitted patient care.
Note that Stage I pressure injury: non-blanchable erythema (where Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} is L89.0x) is excluded from the numerator. This is where the skin is intact, with non-blanchable redness of a localised area, usually over a bony prominence. Where there is more than one pressure injury, count the one at the highest stage. Presented as a percentage. [1] Where 'x' indicates that all fifth character codes following the three-digit rubric and fourth character are included in the definition. The fifth character in this code set indicates the site of the pressure ulcer.
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Computation: | (Numerator ÷ denominator) x 100 | ||||||||||||||||||
Numerator: | Number of patients admitted to hospital with a hip fracture acquiring a Stage II or higher pressure injury during their stay in hospital for the treatment of their hip fracture. | ||||||||||||||||||
Denominator: | Number of patients admitted to hospital with a hip fracture. | ||||||||||||||||||
Comments: | For hospitals collecting the Australian and New Zealand Hip Fracture Registry (ANZHFR) data set (ANZHFR Steering Group 2013), the variable New pressure ulcers can be used for the numerator of this indicator. | ||||||||||||||||||
Representational attributes | |||||||||||||||||||
Representation class: | Percentage | ||||||||||||||||||
Data type: | Real | ||||||||||||||||||
Unit of measure: | Service event | ||||||||||||||||||
Format: | N[NN] | ||||||||||||||||||
Source and reference attributes | |||||||||||||||||||
Submitting organisation: | Australian Commission on Safety and Quality in Health Care | ||||||||||||||||||
Reference documents: | ANZHFR (Australian and New Zealand Hip Fracture Registry) Steering Group 2013. Data dictionary. Sydney: ANZHFR. Viewed 5 May 2016, http://www.anzhfr.org/images/resources/Data%20/> Dictionary%20v8% Baumgarten M et al. 2003. Risk factors for pressure ulcers among elderly hip fracture patients. Wound repair and regeneration: official publication of the Wound Healing Society [and] the Europe Tissue Repair Society 11(2):96-103. Reddy M, Gill SS & Rochon PA 2006. Preventing pressure ulcers: a systematic review. JAMA: The Journal of the American Medical Association 296(8):974-84. |