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Hip fracture care clinical care standard indicators: 8a-Re-operation of hip fracture patients within 30-day follow-up

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 8a-Re-operation of hip fracture patients within 30 day follow-up
METeOR identifier:Help on this term628360
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Re-operation of hip fracture patients within 30-day follow-up.

Rationale:Help on this term

Hip fracture re-operations substantially increase the burden of hip fractures on society and the individual, and are potentially preventable (Luthje 2014).

Indicator set:Help on this termClinical 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Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018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:Help on this termIndicators of effectiveness Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

The numerator includes patients with a hip fracture requiring re-operation within 30 days following admission for the acute hip fracture episode of care. Include patients with any of the following procedures:

  • reduction of dislocated prosthesis
  • washout or debridement
  • implant removal
  • revision of internal fixation
  • conversion to hemiarthroplasty
  • conversion to total hip replacement
  • girdlestone/excision arthroplasty
  • periprosthetic fracture.

Include only patients who were followed up at 30 days. The 30 days should be calculated from the Episode of admitted patient care—admission date, DDMMYYYY, from the initial episode for the definitive treatment of the hip fracture.

Note that re-operation 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 re-present (for example, a Local Hospital Network).

Both the numerator and the denominator exclude patients who died during the hip fracture episode, that is, where Episode of admitted patient care—separation mode, code N = 8 Died) or were deceased at the 30-day follow-up.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with a hip fracture requiring re-operation within 30 days from admission for the acute hip fracture episode of care.

Denominator:Help on this term

Number of patients admitted to hospital with a hip fracture in a period that is at least 30 days prior to the period for which re-operations are being counted.

Comments:Help on this term

For hospitals collecting the Australian and New Zealand Hip Fracture Registry (ANZHFR) data set (ANZHFR Steering Group 2013), the variable Re-operation within 30-day follow-up can be used for the numerator of this indicator.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term


Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Luthje P, Helkamaa T, Nurmi-Luthje I, Kaukonen JP & Kataja M 2014. An 8-year follow-up study of 221 consecutive hip fracture patients in Finland: analysis of reoperations and their direct medical costs. Scandinavian journal of surgery: SJS: Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society 103(1):46-53.

ANZHFR (Australian and New Zealand Hip Fracture Registry) Steering Group 2013. Data dictionary. Sydney: ANZHFR. Viewed 5 May 2016,

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