National Hip Fracture Database Supplementary Report 2011-12

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).

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

髋关节骨折是一种严重且昂贵的损伤，主要影响老年人，女性患者更为多见。此类损伤通常由骨骼结构脆弱（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例髋关节骨折发生。尽管在髋关节骨折后的外科、医疗及康复护理方面已积累丰富的最佳实践证据，但此类护理及其结果——包括回家及死亡率——仍存在较大差异。

国家髋关节骨折数据库（NHFD）于2007年启动，旨在提升髋关节骨折患者的护理质量。该数据库记录了英格兰、威尔士及北爱尔兰的髋关节骨折患者的病例组合、护理过程及结果，目前已累积超过250,000个案例，堪称世界上最大的髋关节骨折审计项目。

它已在地方和国家级别上证明了患者护理的广泛改进，并在英格兰支持了卫生部门关于髋关节骨折护理的非常成功的最佳实践收费标准。NHFD的工作正在爱尔兰复制，近期已启动爱尔兰髋关节骨折数据库，类似的发展也在澳大利亚、新西兰、加拿大及香港进行。

国家髋关节骨折数据库由英国骨科协会和英国老年病学协会合作创立。该项目于2004年至2007年期间开发，自2009年起作为国家临床审计项目获得中央资助，由 Healthcare Quality Improvement Partnership（HQIP）提供支持。自2012年4月起，NHFD作为跌倒与脆性骨折审计项目的一部分继续运行，该项目由伦敦皇家内科医师学院代表HQIP管理。

审计范围包括英格兰、威尔士、北爱尔兰、马恩岛及海峡群岛，然而数据文件仅涉及英格兰的数据。