Mortality after admission to hospital with fractured neck of femur: database study

doi:10.1136/bmj.325.7369.868

BMJ 2002;325:868-869 ( 19 October )

Papers

Mortality after admission to hospital with fractured neck of femur: database study

Michael J Goldacre, director, Stephen E Roberts, statistician, David Yeates, computer scientist.

Unit of Health-Care Epidemiology, Department of Public Health, Institute of Health Sciences, University of Oxford, Oxford OX3 7LF

Correspondence to: M J Goldacre michael.goldacre@dphpc.ox.ac.uk

The first 150 words of the full text of this article appear below.

The death rate within one year of fractured neck of femur is typically reported as between 20% and 35%.^1-3 Performance indicatorsbased on mortality after hospital admission for such fractureshave been promoted.⁴ The only measure of mortality in routinehospital statistics, however, is "in-hospital mortality" $---$ deathduring the initial admission for the fracture. We analysed inpatientstatistics that had been linked to death registration data inthe former Oxford NHS health region (population 2.5 million) from1994 to1998.

Methods and results

We selected emergency admissions in people aged 65 years and over who had been admitted to eight main acute trusts and forwhom fractured neck of femur was the principal diagnosis (internationalclassification of diseases, ninth revision (ICD-9), codes 820,821.0, and 821.1). We calculated standardised mortality ratiosafter fracture by applying the age and sex specific mortalityin five-year age groups in the whole population of the region("standard" population) to the number . . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

This article has been cited by other articles:

Brauer, C. A., Coca-Perraillon, M., Cutler, D. M., Rosen, A. B. (2009). Incidence and Mortality of Hip Fractures in the United States. JAMA 302: 1573-1579 [Abstract] [Full text]
Chong, C. P., Lam, Q. T., Ryan, J. E., Sinnappu, R. N., Lim, W. K. (2009). Incidence of post-operative troponin I rises and 1-year mortality after emergency orthopaedic surgery in older patients. Age Ageing 38: 168-174 [Abstract] [Full text]
Davie, G, Cryer, C, Langley, J (2008). Improving the predictive ability of the ICD-based Injury Severity Score. Inj. Prev. 14: 250-255 [Abstract] [Full text]
Moran, C. G., Wenn, R. T., Sikand, M., Taylor, A. M. (2005). Early Mortality After Hip Fracture: Is Delay Before Surgery Important?. JBJS 87: 483-489 [Abstract] [Full text]
Foss, N. B., Kehlet, H. (2005). Mortality analysis in hip fracture patients: implications for design of future outcome trials. Br J Anaesth 94: 24-29 [Abstract] [Full text]
Roberts, S. E, Goldacre, M. J (2003). Time trends and demography of mortality after fractured neck of femur in an English population, 1968-98: database study. BMJ 327: 771-775 [Abstract] [Full text]

Rapid Responses:

Read all Rapid Responses

It is neither co-morbidity, frailty nor advanced age: Richard G Fiddian-Green
bmj.com, 18 Oct 2002 [Full text]
What about asian population?: Sameer Badarudeen
bmj.com, 9 Nov 2002 [Full text]
Mortality rates after hip fracture in persons aged 65 years and over: Norbert Specht-Leible, et al.
bmj.com, 27 Nov 2002 [Full text]