National Hip Fracture Database Commissioners Report 2014

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 250,000 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).
This report serves as a companion to the NHFD 2014 annual report and the CCG outcome indicators sets, available from the HSCIC indicators portal, and describes a number of outcome indicators aggregated to CCG and area team level.

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

股骨颈骨折是一种严重且昂贵的伤害，主要影响老年人，且在女性中更为常见。该疾病通常由骨质疏松导致的骨结构脆弱与跌倒相结合引起。在英国，每年大约有76,000例股骨颈骨折发生。尽管在股骨颈骨折后的外科、医疗及康复护理方面已有大量关于最佳实践的证据，但此类护理及其结果——无论是关于返回家庭还是死亡率——仍存在较大差异。

国家股骨颈骨折数据库（NHFD）于2007年启动，旨在提升股骨颈骨折患者的护理质量。该数据库记录了英格兰、威尔士和北爱尔兰的股骨颈骨折患者的病例组合、护理过程及其结果，现已有超过250,000例病例记录，堪称世界上最大的股骨颈骨折审计项目。

它已在地方和国家级别展示了患者在护理方面的广泛改进，并在英格兰支持了卫生部门关于股骨颈骨折护理的非常成功的最佳实践收费方案。NHFD的工作现在正在爱尔兰复制，近期已启动爱尔兰股骨颈骨折数据库，类似的发展也正在澳大利亚、新西兰、加拿大和香港进行。

国家股骨颈骨折数据库由英国骨科协会和英国老年病学协会合作成立。它于2004年至2007年期间开发，自2009年以来，作为国家临床审计项目，通过 Healthcare Quality Improvement Partnership（HQIP）获得中央资助。自2012年4月起，NHFD作为跌倒和脆性骨折审计项目的一部分继续运行，由伦敦的皇家内科医师学院代表HQIP进行管理。

本报告作为NHFD 2014年度报告和CCG成果指标集的补充，可通过HSCIC指标门户获取，并描述了多个汇总至CCG和地区团队级别的成果指标。

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