Hip Fracture Clinical Care Standard: 1a- Proportion of patients with a hip fracture who were screened for cognitive impairment using a validated tool on presentation to hospital
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | 1a-Proportion of patients with a hip fracture who were screened for cognitive impairment using a validated tool on presentation to hospital |
METEOR identifier: | 780818 |
Registration status: | Australian Commission on Safety and Quality in Health Care, Standard 10/09/2023 |
Description: | Proportion of patients with a hip fracture who were screened for cognitive impairment using a validated tool on presentation to hospital. |
Indicator set: |
Collection and usage attributes | |
Population group age from: | 50 years or older |
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Computation description: | The numerator includes patients with a hip fracture who were screened for cognitive impairment using a validated tool on presentation to hospital and the results were recorded in their medical record. There are a range of validated tools for screening for cognitive impairment. They include:
The 4AT has been validated both for screening for cognitive impairment and delirium assessment. Administration of the 4AT meets the numerator criteria for this indicator and for 3b-Proportion of patients with a hip fracture who were assessed for delirium following surgery. |
Computation: | (Numerator ÷ denominator) x 100 |
Numerator: | Number of patients with a hip fracture who were screened for cognitive impairment using a validated tool on presentation to hospital. |
Denominator: | Number of patients with a hip fracture who presented to hospital. |
Comments: | Undertaking screening for cognitive impairment for patients with hip fracture also meets the requirements for Delirium clinical care standard indicators: 1b-Proportion of admitted patients aged 65 years or older or 45 years or older for Aboriginal and Torres Strait Islander people who were screened for cognitive impairment using a validated tool within 24 hours of presentation to hospital |
Representational attributes | |
Representation class: | Percentage |
Data type: | Real |
Unit of measure: | Service event |
Format: | N[NN] |
Accountability attributes | |
Reporting requirements: | Hip Fracture Clinical Care Standard 2023 |
Organisation responsible for providing data: | Health service organisation |
Accountability: | Health service organisation |
Source and reference attributes | |
Submitting organisation: | Australian Commission on Safety and Quality in Health Care |
Reference documents: | Australian Commission on Safety and Quality in Health Care. Delirium Clinical Care Standard. Sydney: ACSQHC; 2021. Bellelli G, Morandi A, Davis DH, Mazzola P, Turco R, Gentile S, et al. Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing. 2014 Jul;43(4):496–502. Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing. 1972 Nov;1(4):233-8. LoGiudice D, Smith K, Thomas J, Lautenschlager NT, Almeida OP, Atkinson D, et al. Kimberley Indigenous Cognitive Assessment tool (KICA): development of a cognitive assessment tool for older indigenous Australians. Int Psychogeriatr. 2006 Jun;18(2):269-80.
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