Hip fracture care clinical care standard indicators: 6b-Proportion of patients with a hip fracture readmitted to hospital with another femoral fracture within 12 months of admission from initial hip fracture
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
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Indicator type: | Indicator |
Short name: | Indicator 6b-Proportion of patients with a hip fracture readmitted to hospital with another femoral fracture within 12 months of admission from initial hip fracture |
METEOR identifier: | 628256 |
Registration status: | Health, Standard 12/09/2016 |
Description: | Proportion of patients admitted to hospital with a hip fracture readmitted with another femoral fracture within 12 months of admission from initial hip fracture. |
Rationale: | Re-fractures contribute substantially to the overall mortality associated with a fracture (Bliuc et al. 2013). |
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set: | Clinical care standard indicators: hip fracture Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018 Health, Standard 12/09/2016 |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: | Minimising risk of another fracture Health, Standard 12/09/2016 |
Collection and usage attributes | |
Computation description: | The numerator includes patients with a hip fracture readmitted to hospital with another femoral fracture within 12 months of admission to hospital from the initial hip fracture. Femoral fracture is where Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} or Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} is one of the following:
Readmission may be to the hospital at which the patient had surgery for their hip fracture, or to another hospital. This relies on linked data and/or the use of a unique identifier preferably across a geographic region at which patients are likely to be readmitted (for example, a Local Hospital Network). The 12 months is calculated from the Episode of admitted patient care—admission date, DDMMYYYY, from the initial episode for the definitive treatment of the hip fracture. Exclude patients where Episode of admitted patient care—separation mode, code N=8 Died. The denominator should include a count for a period that is at least 12 months prior to the period for which readmissions are being counted. Both the numerator and the denominator only include episodes whereby Hospital service—care type, code N[N] = 1 Acute care. Presented as a percentage. |
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Computation: | (Numerator ÷ denominator) x 100 |
Numerator: | Number of hospital patients with a hip fracture readmitted to hospital with another femoral fracture within 12 months of admission from initial hip fracture. |
Denominator: | Number of hospital patients with a hip fracture admitted to hospital in a period that is at least 12 months prior to the period for which readmissions are being counted. |
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: | Bliuc D, Nguyen ND, Nguyen TV, Eisman JA & Center JR 2013. Compound risk of high mortality following osteoporotic fracture and refracture in elderly women and men. Journal of Bone and Mineral research: The Official Journal of the American Society for Bone and Mineral Research 28(11):2317-24. |