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Falls Analyses

Falls Analysis Fragility Fractures for patients aged 50 years and over (Using SEPHO ICD10 diagnosis definition) Draft v 0.1. Falls Analyses. Contents: F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust

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Falls Analyses

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  1. Falls AnalysisFragility Fractures for patients aged 50 years and over(Using SEPHO ICD10 diagnosis definition)Draft v0.1 9 March 2011

  2. Falls Analyses Contents: • F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust • F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust • F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level

  3. F1.1.1(3) - In hospital mortality for people admitted with fragility fracture, by acute trust

  4. F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust Table 1a: Observed number of deaths for for people admitted with fragility fracture (2008/09) Table 1b: Observed number of deaths for for people admitted with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  5. F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 1a: Standardised Mortality Ratio for people admitted with fragility fracture and 95% confidence intervals (2008/09) Data source: HES 2008/09

  6. 6 F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 1b: Standardised Mortality Ratio for people admitted with fragility fracture and 95% confidence intervals (2009/10) Data source: HES 2009/10

  7. 7 F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 2a: Funnel plot for SMR of people admitted with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  8. 8 F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 2b: Funnel plot for SMR of people admitted with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  9. F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust

  10. 10 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Table 1a: Observed number of secondary care admissions with fragility fracture (2008/09) Table 1b: Observed number of secondary care admissions with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  11. 11 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Table 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture (2008/09) Table 1b: Indirectly Standardised Ratio of secondary care admissions with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  12. 12 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture and 95% confidence intervals (2008/09) Data source: HES 2008/09

  13. 13 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture and 95% confidence intervals (2009/10) Data source: HES 2009/10

  14. 14 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Funnel plot for secondary care admissions with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  15. 15 F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1b: Funnel plot for secondary care admissions with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  16. F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level

  17. 17 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 1a: Observed number of secondary care admissions with fragility fracture (2008/09) Data source: HES 2008/09

  18. 18 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 1b: Observed number of secondary care admissions with fragility fracture (2009/10) Data source: HES 2009/10

  19. 19 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 2a Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population per year (2008/09) Data source: HES 2008/09

  20. 20 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 2b: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population per year (2009/10) Data source: HES 2009/10

  21. 21 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 1a: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population and 95% confidence intervals (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  22. 22 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 1b: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population and 95% confidence intervals (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  23. 23 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 2: Time Series of Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population Data source: HES 2008/09 & 2009/10 and ONS 2008 & 2009 population estimates

  24. 24 F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 3a: Funnel plot of secondary care admissions with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  25. 25 F1.2.3(3) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 3b: Funnel plot of secondary care admissions with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  26. Data Specifications

  27. ICD10 Codes for Fragility Fractures Data source: “Benchmarking quality of care for fragility fractures in the South Central SHA area”, October 2010, SEPHO.

  28. F1.1.1(3) – In hospital mortality for people admitted with fragility fracture, by acute trust • Data Source: HES data 2008/09, 2009/10 • Data Details: Primary diagnosis recorded as fragility fracture for discharge episode (see ICD10 codes) Age at start of discharge episode greater or equal to 50 years old Admitted and discharged within year Discharge method equal to Death • Indicator: Numerator: Number of secondary care admissions with fragility fracture where the patient died in hospital Denominator: All admissions with a primary diagnosis of fragility fracture Presentation: By acute trust • Data Handling Notes: Indirectly standardised rate based on sex and age (5 year age bands from 50 to 89, and 90 and over)

  29. F1.2.1(3) – Rate of secondary care admissions with fragility fracture, by acute trust • Data Source: HES data 2008/09, 2009/10 • Data Details: Primary diagnosis recorded as fragility fracture for discharge episode (see ICD10 codes) Age at start of discharge episode greater or equal to 50 years old Admitted and discharged within year • Indicator: Numerator: Number of secondary care admissions with fragility fracture Denominator: All secondary care admissions Presentation: By acute trust • Data Handling Notes: Indirectly standardised rate based on sex and age (5 year age bands from 50 to 89, and 90 and over )

  30. F1.2.2(3) – Standardised rate of secondary care admissions with fragility fracture, at a population level • Data Source: HES data 2008/09, 2009/10 ONS population estimates 2008, 2009 • Data Details: Primary diagnosis recorded as fragility fracture for discharge episode (see ICD10 codes) Age at start of discharge episode greater or equal to 50 years old Admitted and discharged within year • Indicator: Numerator: Number of secondary care admissions with fragility fracture Denominator: PCT population Presentation: By PCT of residence • Data Handling Notes: Directly standardised rate based on sex and age (5 year age bands from 50 to 84, and 85 and over) using WHO European standard age structure.

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