Hip Fracture Clinical Care Standard: 4a-Proportion of admitted patients with a hip fracture who received surgery within 36-hours of their first presentation to a hospital
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | 4a-Proportion of admitted patients with a hip fracture who received surgery within 36-hours of their first presentation to a hospital |
METEOR identifier: | 780920 |
Registration status: | Australian Commission on Safety and Quality in Health Care, Standard 10/09/2023 |
Description: | Proportion of admitted patients with a hip fracture who received surgery within 36-hours of their first presentation to a hospital. |
Indicator set: |
Collection and usage attributes | |
Population group age from: | 50 years or older |
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Computation description: | For the numerator, the 36 hour timeframe for hip surgery is counted as follows:
Both the numerator and the denominator exclude patients who died on the same day they presented to hospital - exclude episodes whereby Episode of admitted patient care—admission date, DDMMYYYY is equal to Episode of admitted patient care—separation date, DDMMYYYY, AND Episode of admitted patient care—separation mode, code N is not equal to 8 Died. Both the numerator and the denominator exclude patients for whom hip fracture surgery was not planned at admission (that is, patients who refuse surgery, patients with an advance care directive or on a palliative care pathway), except for admitted patients who sustain a hip fracture in hospital. Presented as a percentage. |
Computation: | (Numerator ÷ denominator) x 100 |
Numerator: | Number of patients admitted to hospital who received hip fracture surgery within 36 hours of presentation with a hip fracture. |
Denominator: | Number of patients admitted to hospital for hip fracture surgery. |
Comments: | For hospitals collecting the Australian and New Zealand Hip Fracture Data Registry (ANZHFR) data set (2022), the arrival/presentation date of patients with a hip fracture presenting to other hospitals and transferred to the operating hospital can be obtained through this dataset [1]. However, other hospitals may have to use a unique identifier (preferably across the geographic region that makes up the catchment population) or linked data at the state level to obtain the arrival/presentation date of patients transferred in to correctly calculate whether surgery was achieved within 36 hours. For patients with a hip fracture resulting from a fall in hospital, the in-patient fracture date can be obtained from the ANZHFR data set [2]. Else the date needs to be obtained from the patient's medical record (as it is usually not reported in the routine administrative data sets). [1] See variables ED/ hospital arrival date (transfer hospital) and ED arrival date (operating hospital). [2] See variable In-patient fracture date. |
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 Organisations |
Accountability: | Health Service Organisations |
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. Hip Fracture Clinical Care Standard. Sydney: ACSQHC; 2023. Australian and New Zealand Hip Fracture Registry. Data Dictionary Version 15. ANZHFR; 2022. |
Relational attributes | |
Related metadata references: |