Care for hip fracture

Hip fracture is one of the most common and serious health problems affecting older people, and leads to more than 50,000 hospital admissions a year in England. Providing good-quality care for hip fractures will become increasingly important due to an ageing population and the corresponding rise in hip fracture incidence.

What are the trends in admissions for hip fracture?

The chart shows the total annual admissions for hip fracture, along with age and sex-standardised hip fracture admission rates per 100,000 population. Overall the absolute number of admissions for hip fractures per year increased by 17.9% during the analysis period, rising from 48,915 admissions in 2002/03 to 57,668 admissions in 2014/15. However the increase in the numbers of older people in the population meant that the change in standardised rates was less dramatic, and mainly seems to fluctuate over the analysis period. The stability of the age-standardised rates suggests that much of the increase in the absolute numbers is due to the increasing number of older people.

Source: 
Health and Social Care Information Centre, Hospital Episode Statistics

What proportion of people admitted for hip fracture are operated on within 24 & 48 hours?

The chart shows the proportion of people undergoing surgery within 24 and 48 hours following admission for hip fracture. The trends for both metrics mirror each other closely, declining initially between 2002/03 and 2005/06 from 71.4% to 69.0% of patients operated on within 48 hours, but rising steadily after this and reaching a maximum in 2014/15, with 88.5% of patients operated on within 48 hours of admission. The largest year-on-year increase occurred between 2009/10 and 2010/11 with the proportion of patients operated on within 24 hours rising markedly from 58.7% to 67.0%, with a corresponding increase from 77.7% to 83.3% of patients undergoing surgery within 48 hours.

Source: 
Health and Social Care Information Centre, Hospital Episode Statistics

How have hip fracture readmissions within 28 days changed over time?

The chart shows the total annual readmissions for hip fracture within 28 days, along with age and sex-standardised hip fracture readmission rates per 1,000 population. There were a total of 60,385 readmissions within 28 days of discharge from hospital following hip fracture between April 2002 and March 2015. Overall the number of readmissions increased by 66.8%, rising from 3,542 readmissions in 2002/03 to 5,907 readmissions in 2014/15. The crude readmission rate over the period was 8.8%. In contrast to mortality rates, the 28 day readmission rate increased dramatically, rising from 72.4 readmissions per 1,000 admissions in 2002/03 to 102.4 readmissions per 1,000 admissions in 2014/15, an overall increase of 41.2% over the period.

Source: 
Health and Social Care Information Centre, Hospital Episode Statistics
About this data

Figures compiled from HES data, 2002/03 - 2014/15.

More in depth analysis can be viewed in our report, Focus on: Hip Fracture. The report covers data for the time period 2001/02 - 2010/11.

Comments

Add new comment