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Amplitude Clinical Outcomes

The effects of clinical outcomes on hip fracture initiative

Orthopaedic Product News – August 2015

A decline in post-fracture rates of mortality and improved levels of care.

Launched in 2007, the UK National Hip Fracture Database (NHFD) is one of many initiatives aimed at increasing the quality of healthcare made available in the UK. A collaboration between the British Geriatrics Society (BGS) and the British Orthopaedic Association (BOA), the NHFD allows clinical teams to collect feedback from their patients and more accurately measure their performance relative to a set of clinical standards defined by the BGS and BOA.

A report, published in the Medical Care Journal, assessed elderly patients suffering from hip fractures over an eight year period prior to and after the implementation of the NHFD in 2007. It concluded that substantial improvements were made both in the use of early surgery and the mortality rate within 30 days of admission. Indeed, the results drawn from this study give credence to the administration of clinical outcomes throughout the medical landscape:

“From 2007 to 2011, the rate of early surgery increased from 54.5% to 71.3%, whereas the rate had remained stable over the period 2003–2007. Thirty-day mortality fell from 10.9% to 8.5%, compared with a small reduction from 11.5% to 10.9% previously. The annual relative reduction in adjusted 30-day mortality was 1.8% per year in the period 2003–2007, compared with 7.6% per year over 2007–2011”

One of concerning issues highlighted by the report is the likelihood that as the population of the UK get older over the coming decades, the number of those affected by hip fractures is set to increase. How the NHS, along with the wider medical community as a whole, responds to these demographic trends will undoubtedly have a profound impact on the state of our healthcare system.

The successful implementation of technological innovations such as the NHFD sets a powerful precedent for further developments in the field of patient reported outcome measures. In 2007, no more than 11 hospitals treating hip fractures were collecting data and feedback from their patients, by 2011 this figure stood at 175. Jenny Neuburger, PHD – lead author and lecturer in statistics at the London School of Hygiene & Tropical Medicine, evidently supports this trend, indicating that there was a causal relationship between the “substantial improvements in care and survival of older people with hip fracture[fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][s]” and the launch of the NHFD.


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