Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Hip fracture care clinical care standard indicators: 5b-Proportion of patients with a hip fracture with unrestricted weight bearing status immediately post hip fracture surgery

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 5b-Proportion of patients with a hip fracture with unrestricted weight bearing status immediately post hip fracture surgery
METeOR identifier:Help on this term696440
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of patients with a hip fracture with unrestricted weight bearing status immediately post hip fracture surgery.

Rationale:Help on this term

Restricted weight bearing can reduce and delay patients’ functional recovery and return to independent living (ANZHFR Steering Group 2014; Ariza-Vega et al. 2014).

Indicator set:Help on this termClinical care standard indicators: hip fracture 2018 Australian Commission on Safety and Quality in Health Care, Standard 15/05/2018
Outcome area:Help on this termMobilisation and weight-bearing Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

For the numerator, unrestricted weight bearing status refers to the fact that the patient can be mobilised with full use of the affected limb, to weight bear as pain allows, immediately following surgery for hip fracture. This is contrasted with patients with restricted/non weight bearing status immediately post surgery, which means that there is a specific instruction that prevents the patient being allowed to fully utilise the leg irrespective of the degree of pain. Restricted weight bearing includes terms such as partial weight bear, touch weight bear and non weight bear.

In the phrase "unrestricted weight bearing immediately post surgery", immediately refers to what should be aimed for with a patient as soon as practical after the hip fracture surgery. It is usually no later than the next calendar day following the surgery, when it is expected that the patient is first mobilised.

Both the numerator and the denominator exclude patients where Episode of admitted patient care—separation mode, code N = 8 Died, and the date of death was the date of the hip fracture surgery or the day following the surgery.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients admitted to hospital with a hip fracture with unrestricted weight bearing status immediately post hip fracture surgery.

Denominator:Help on this term

Number of patients admitted to hospital with a hip fracture who underwent surgery for their hip fracture.

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 Full weight bear 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

N[NN]

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

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%
20Dec%202013.pdf
.

ANZHFR Steering Group 2014. Australian and New Zealand guideline for hip fracture care: improving outcomes in hip fracture management of adults. Sydney: ANZHFR.

Ariza-Vega P, Jimenez-Moleon JJ & Kristensen MT 2014. Non-weight-bearing status compromises the functional level up to 1 yr after hip fracture surgery. American Journal of Physical Medicine & Rehabilitation / Association of Academic Physiatrists 93(8):641-8.

My items Help on this term
Download Help on this term