Trends in hip fracture care in the Republic of Ireland from 2013 to 2018: results from the Irish Hip Fracture Database

Walsh, Mary E.; Ferris, Helena; Coughlan, Tara; Hurson, Conor; Ahern, Emer; Sørensen, Jan; Brent, Louise

doi:10.1007/s00198-020-05636-1

Cited by 22 publications

(25 citation statements)

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“…ASA Grade III (severe systemic disease) admissions increased from 39% in 2013 to 55% in 2020. A full description of the trends in hip fracture care in the Republic of Ireland has been published elsewhere [ 8 ]. The majority of Irish hip fracture patients are females aged 80 years or older who sustain a hip fracture from low energy trauma i.e.…”

Section: Methodsmentioning

confidence: 99%

Cost of hospitalisation for hip fracture—findings from the Irish hip fracture database

Ferris

Brent²,

Sørensen³

2022

Osteoporos Int

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Summary The authors utilised the Irish Hip Fracture Database (IHFD) to quantify the impact of hip fracture on the health service in terms of incidence, bed days and financial costs. The absolute number of hip fracture cases recorded by the IHFD has increased, as has the associated costs of hospitalisation. Introduction Hip fracture places a considerable clinical and financial burden on the healthcare system, with acute hospitalisation accounting for a substantial proportion of the costs incurred. This paper aimed to quantify the cost of hospitalisation for hip fracture in Ireland in terms of bed days and direct hospital costs. Methods The authors analysed 23,494 cases in the Irish Hip Fracture Database (IHFD) from 2014 to 2020. Case numbers and length of stay were analysed annually. Hospital costs for hip fracture were described using the 2020 Activity-Based Funding Price List, which outlines the fees paid to public hospitals for inpatient activity. Results For the time period 2014–2020, the total cost of hospitalisation for hip fracture was approximately €296 million, equating to approximately €11,700 per episode of care. The annual cost of hospitalisation increased from approximately €34 million in 2014 to €44 million in 2020. In 2020, the mean length of stay for hip fracture was 17 days accounting for > 62,600 acute hospital bed days. Conclusion The absolute number of hip fracture cases recorded by the IHFD has increased, as has the cost of hospitalisation. Given the current capacity issues and economic constraints, there is a growing need to prioritise time spent in the most expensive acute hospital setting to the immediate perioperative period and maximise the use of community services and early supportive discharge for the rehabilitation phase. Supplementary Information The online version contains supplementary material available at 10.1007/s00198-021-06294-7.

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Section: Methodsmentioning

confidence: 99%

Cost of hospitalisation for hip fracture—findings from the Irish hip fracture database

Ferris

Brent²,

Sørensen³

2022

Osteoporos Int

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“…• Over 80% of the sample population has experienced a hip fracture and are over the age of 60 years. In line with the IHFD, hip fracture will be defined as a fracture of head or neck of femur, pertrochanteric fracture or subtrochanteric fracture of femur, including periprosthetic or pathological fractures within these regions 4 . Studies of pelvic fractures or femoral shaft fractures in isolation will be excluded.…”

Section: Eligibility Criteriamentioning

confidence: 99%

“…It is a serious event with a 20% one-year mortality rate and unfortunately it often results in significant long-term functional limitations for survivors [1][2][3] . The Irish Hip Fracture Database (IHFD) was established in 2013 and since then it has driven service improvement in hospitals in Ireland through benchmarking of quality care standards 4 . Up to this point, all data reported by the IHFD has been collected during patients' initial inpatient stay 4 .…”

Section: Introductionmentioning

confidence: 99%

“…The Irish Hip Fracture Database (IHFD) was established in 2013 and since then it has driven service improvement in hospitals in Ireland through benchmarking of quality care standards 4 . Up to this point, all data reported by the IHFD has been collected during patients' initial inpatient stay 4 . In line with international recommendations, the IHFD aims to allow for and facilitate recording of post-discharge information in the near future 1,2,5 .…”

Section: Introductionmentioning

confidence: 99%

“…In order, to inform organisational and clinical decision making, data submitted to the IHFD audit needs to be of sufficient quality and the coverage should be representative of all patients in the audit. Local structures, governance and support as well as education, and feedback from the National Office of Clinical Audit have contributed to the IHFD achieving 99% coverage of hip fracture inpatient data in 2018 4 . Those responsible for longer term data reporting will also require education and support to maximise the quality and coverage of post-discharge data.…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes after hip fracture in Ireland: a protocol for a systematic review of traditional and grey literature

et al. 2021

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Background: Hip fracture is experienced by almost 3,500 older people in Ireland annually. The Irish Hip Fracture Database (IHFD), which drives clinical improvements in acute hospitals, aims to allow recording of longer-term outcomes. Feasible and robust methods of data collection need to be identified to inform this activity. The aim of this systematic review is to identify, describe and appraise studies that have collected long-term outcomes after hip fracture in Ireland in the last 15 years and to generate pooled estimates of outcomes if appropriate. Methods: A search of electronic databases (MEDLINE, Embase, Scopus, Web of Science and CINAHL) and grey literature sources will be conducted for journal articles, conference abstracts, academic theses, and reports. Search terms related to hip fracture and Ireland will be included for most sources. The search will be supplemented by email contact with relevant professionals. Observational and interventional studies published between 2005 and 2021 will be included if outcome data were collected in the Republic of Ireland in patients with hip fracture. Outcomes of interest will include data collected after discharge from an inpatient setting or at a fixed time-point greater than 30 days after fracture, hospital admission or surgery. Information relating to study characteristics, description of researchers, data collection methods, patient characteristics and long-term outcomes will be extracted from each study and summarised in tables. Studies will be assessed for risk of bias by two review authors. Where outcomes are sufficiently homogeneous, meta-analyses of estimates will be conducted. Conclusion: Results from this study will inform the planning of further qualitative research to explore barriers and facilitators of long-term outcome collection in Ireland. It will form the basis of education and training for future data collectors in this setting.

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Prevalence of Low Bone Mass and Osteoporosis in Ireland: the Dual‐Energy X‐Ray Absorptiometry (DXA) Health Informatics Prediction (HIP) Project

Carey

Erjiang²,

Wang

et al. 2023

JBMR Plus

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Osteoporosis is a common disease that has a significant impact on patients, healthcare systems, and society. World Health Organization (WHO) diagnostic criteria for postmenopausal women were established in 1994 to diagnose low bone mass (osteopenia) and osteoporosis using dual‐energy X‐ray absorptiometry (DXA)‐measured bone mineral density (BMD) to help understand the epidemiology of osteoporosis, and identify those at risk for fracture. These criteria may also apply to men ≥50 years, perimenopausal women, and people of different ethnicity. The DXA Health Informatics Prediction (HIP) project is an established convenience cohort of more than 36,000 patients who had a DXA scan to explore the epidemiology of osteoporosis and its management in the Republic of Ireland where the prevalence of osteoporosis remains unknown. In this article we compare the prevalence of a DXA classification low bone mass (T‐score < −1.0) and of osteoporosis (T‐score ≤ −2.5) among adults aged ≥40 years without major risk factors or fractures, with one or more major risk factors, and with one or more major osteoporotic fractures. A total of 33,344 subjects met our study inclusion criteria, including 28,933 (86.8%) women; 9362 had no fractures or major risk factors, 14,932 had one or more major clinical risk factors, and 9050 had one or more major osteoporotic fractures. The prevalence of low bone mass and osteoporosis increased significantly with age overall. The prevalence of low bone mass and osteoporosis was significantly greater among men and women with major osteoporotic fractures than healthy controls or those with clinical risk factors. Applying our results to the national population census figure of 5,123,536 in 2022 we estimate between 1,039,348 and 1,240,807 men and women aged ≥50 years have low bone mass, whereas between 308,474 and 498,104 have osteoporosis. These data are important for the diagnosis of osteoporosis in clinical practice, and national policy to reduce the illness burden of osteoporosis. © 2023 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.

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Trends in hip fracture care in the Republic of Ireland from 2013 to 2018: results from the Irish Hip Fracture Database

Cited by 22 publications

References 30 publications

Cost of hospitalisation for hip fracture—findings from the Irish hip fracture database

Cost of hospitalisation for hip fracture—findings from the Irish hip fracture database

Long-term outcomes after hip fracture in Ireland: a protocol for a systematic review of traditional and grey literature

Prevalence of Low Bone Mass and Osteoporosis in Ireland: the Dual‐Energy X‐Ray Absorptiometry (DXA) Health Informatics Prediction (HIP) Project

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