Page last updated: 28-AUG-2007
Scottish Hip Fracture Audit
Statistical Publication Notice
28 August 2007
Scottish Hip Fracture Audit Report 2007 
INTRODUCTION
Hip fracture is a common, serious injury that occurs predominantly in the elderly. The Scottish Hip Fracture Audit (SHFA) is a national prospective audit that aims to improve the management of these patients. SHFA collects data relating to patients over the age of 50 years who are admitted to hospital with a hip fracture. We currently audit hip fracture patients from all 21 major orthopaedic trauma units on mainland Scotland.
A standard core dataset is used to collect case-mix, process and outcome data during the patient's acute stay, and at patient review at 42 or 120 days after acute admission. Data is collected by locally funded, dedicated Local Audit Coordinators.
The 2007 report presents core acute and outcome statistics for hip fracture patients in 14 hospitals that contributed to the audit between April and December 2006. The statistics presented allow comparison with those from previous annual reports, and are presented by hospital on all figures. As casemix and outcome statisitics for many of these patients have already been published in our recent report on hip fracture rehabilitation (http://www.shfa.scot.nhs.uk/Rehab2007/main.html ) this report has been condensed to summary acute and outcome statistics: time in the emergency department, time to theatre, length of acute orthopaedic and hospital stay, residence and survivalat 30-days post-admission, and other outcomes (return to home, mobility, independence and pain) at 42 days post-admission.
) this report has been condensed to summary acute and outcome statistics: time in the emergency department, time to theatre, length of acute orthopaedic and hospital stay, residence and survivalat 30-days post-admission, and other outcomes (return to home, mobility, independence and pain) at 42 days post-admission.The SHFA Steering Group are keen that this valuable bank of information on the care of hip fracture patients is fully utilised. There are opportunities to identify potential improvements in patient care through examination of current practice, and also pointers for future research. Anyone interested in accessing this valuable resource should contact our National Clinical Co-ordinator (Kathleen.Duncan@lanarkshire.scot.nhs.uk ).
KEY POINTS
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82% of hip fracture patients were transferred through the emergency department within four hours
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86% of medically fit patients who were operated on went to theatre within 24 safe operating hours of ward admission
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The median total length of hospital stay was 24 days
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92% of patients survived to 30 days post-admission
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55% of patients admitted from home were again resident at home at review at 42 days post-admission, but only 33% of patients who previously lived independently had returned to living independently. 90% of patients reported only slight pain or being pain free at 42 days
INTERPRETATION
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SHFA collects data relating to patients over the age of 50 years who are admitted to hospital with a hip fracture.
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The 2007 report presents core acute and outcome statistics for hip fracture patients in 14 hospitals that contributed to the audit between April and December 2006. All 21 major orthopaedic trauma units on mainland Scotland are contributing to the 2007 audit.
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Safe operating hours are between 8 am and 8 pm, seven days a week. Hip fracture patients should not undergo surgery during night-time hours unless indicated for medical reasons.
DETAILED FINDINGS
This report is intended to provide hospital-specific data and a comparison to the average across all contributing hospitals. This enables hospitals to compare their own data to results from previous reports, and gives local and national comparisons useful in identifying future service improvements.
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MAIN CONTACTS:
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PRE-RELEASE ACCESS TO THIS PUBLICATION WAS GIVEN TO:
CMO
Jill Vickerman in the SE's Scottish Health Advisory Service
Chief Execs of contributing hospitals/boards
Orthopaedic leads in contributing hospitals
Jill Vickerman in the SE's Scottish Health Advisory Service
Chief Execs of contributing hospitals/boards
Orthopaedic leads in contributing hospitals
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HISTORY OF THIS PUBLICATION:
Last Published: September 2006
Next Due: September 2008
Data Available Since: Similar format Annual Reports available since 2004 (2003 data)
Main contact: 
Rik Smith
Rik Smith
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