National Hip Fracture Database Annual Report 2019

Hip fracture is a serious and costly injury affecting mainly older people, and is more common in women. It usually results from the combination of weak bone structure (osteoporosis) and a fall. Around 76,000 hip fractures occur each year in the UK as a whole. Although there is good evidence on best practice in surgical, medical and rehabilitation care following hip fracture, such care and its outcomes – in terms of return home and also of mortality – continues to vary.

The National Hip Fracture Database (NHFD), which was launched in 2007, aims to deliver improvements in the care of hip fracture patients. It documents case-mix, care and outcomes of hip fracture patients in England, Wales and Northern Ireland and is now, with more than 500,000 cases on record – by far the largest hip fracture audit in the world.

It has demonstrated broad improvements at local and national level in patient care, and in England has supported the Department of Health’s highly successful Best Practice Tariff for hip fracture care. The work of the NHFD is now being replicated in Ireland, with the recent launch of Irish Hip Fracture Database, and similar developments are in hand in Australia and New Zealand, Canada and Hong Kong.

The National Hip Fracture Database was founded as a collaboration between the British Orthopaedic Association and the British Geriatrics Society. It was developed between 2004 and 2007, and since 2009 it has received central funding as a national clinical audit via the Healthcare Quality Improvement Partnership (HQIP). Since April 2012 the NHFD has continued as part of the Falls and Fragility Fracture Audit Programme, managed on behalf of HQIP by the Royal College of Physicians (London).

The audit covers England, Wales, Northern Ireland and the Isle of Man, however data files only refer to data for England and Wales.

股骨骨折是一种严重且代价高昂的损伤，主要影响老年人，且在女性中更为常见。该损伤通常由骨结构脆弱（骨质疏松症）与跌倒的共同作用所引起。在英国，每年约有76,000例股骨骨折发生。尽管在股骨骨折后的外科、医疗和康复护理方面已有关于最佳实践的充分证据，但此类护理及其结果——无论是出院情况还是死亡率——仍存在较大差异。

国家股骨骨折数据库（NHFD）于2007年启动，旨在提升股骨骨折患者的护理水平。该数据库记录了英格兰、威尔士和北爱尔兰的股骨骨折患者的病例组合、护理过程和结果，如今已累积超过500,000个病例，成为世界上最大的股骨骨折审计数据库。

它已在地方和国家级别上显著改善了患者护理水平，并在英格兰支持了卫生部门高度成功的股骨骨折护理最佳实践收费标准。NHFD的工作现在正在爱尔兰复制，爱尔兰股骨骨折数据库的近期启动，以及类似的发展正在澳大利亚、新西兰、加拿大和香港进行。

国家股骨骨折数据库是由英国骨科协会和英国老年病学学会合作成立的。它于2004年至2007年间开发，自2009年以来，作为国家临床审计项目，通过卫生质量改进伙伴关系（HQIP）获得中央资助。自2012年4月起，NHFD一直作为跌倒和脆性骨折审计计划的一部分继续运行，该计划由伦敦的皇家内科医师学会代表HQIP进行管理。

审计范围包括英格兰、威尔士、北爱尔兰和马恩岛，然而数据文件仅涉及英格兰和威尔士的数据。