Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 5d-Proportion of patients with a hip fracture returning to pre-fracture mobility within 120 days|
|Registration status:||Health, Standard 12/09/2016|
Proportion of patients with a hip fracture returning to pre-fracture mobility.
Hip fractures are associated with loss of function, often leading to permanent disability and decreased independence in daily living (Boonen et al. 2004). This in turn results in loss of health related quality of life for the individual (Borgstrom et al. 2013), and greater relative risk of death (Farahmand et al. 2005). Therefore, regaining independent mobility after a hip fracture is essential and is considered to be the primary goal in rehabilitation during hospitalisation and in the early post-operative period (Hulsbæk et al. 2014).
|Indicator set:||Clinical care standard indicators: hip fracture Health, Standard 12/09/2016|
Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018
|Outcome area:||Mobilisation and weight-bearing Health, Standard 12/09/2016|
Collection and usage attributes
The numerator includes patients with a hip fracture returning to pre-admission walking ability within 120 days post the admission date for the episode of admitted care at which the hip surgery was undertaken. That is, the patient’s walking ability post-admission matches or improves on that at 120 days follow-up. The table below defines matches/improvements, comparing pre-admission walking ability with post-admission walking ability at 120 days.
For both the numerator and the denominator, include only patients who were followed up at 120 days following Episode of admitted patient care—admission date, DDMMYYYY for the acute episode of care at which the hip fracture surgery was undertaken. Exclude patients who:
(Numerator ÷ denominator) x 100
Number of patients with a hip fracture returning to pre-admission walking ability within 120 days post the admission date for the hip surgery episode of care.
Number of patients having hip fracture surgery followed up within 120 days post the admission date for the hip surgery episode of care.
For hospitals collecting the Australian and New Zealand Hip Fracture Registry (ANZHFR) data set (ANZHFR Steering Group 2013), the variables Pre-admission walking ability and Post-admission walking ability at 120-day follow-up can be used for the numerator of this indicator.
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
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%
Boonen S, Autier P, Barette M, Vanderschueren D, Lips P & Haentjens P 2004. Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 15(2):87-94.
Borgstrom F, Lekander I, Ivergard M, Strom O, Svedbom A, Alekna V, et al. 2013. The International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS)-quality of life during the first 4 months after fracture. Osteoporosis International: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 24(3):811-23.
Farahmand BY, Michaelsson K, Ahlbom A, Ljunghall S, Baron JA, Swedish Hip Fracture Study Group 2005. Survival after hip fracture. Osteoporosis International: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 16(12):1583-90.
Hulsbæk S, Larsen RF & Troelsen A 2014. Predictors of not regaining basic mobility after hip fracture surgery. Disability and Rehabilitation 0(0):1-6.