Are hip fracture rates falling or rising over time Using 在髋部骨折率下或上升时使用.pptVIP

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2018-06-19 发布于福建
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Are hip fracture rates falling or rising over time Using 在髋部骨折率下或上升时使用.ppt

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Are hip fracture rates falling or rising over time Using 在髋部骨折率下或上升时使用

Are hip fracture rates falling or rising over time? Using routine data to understand the Epidemiology. Scottish Faculty of Public Health Annual Conference, Aviemore. 10th November 2011 Hip Fractures: Background Ageing population Hip fractures as a marker condition Importance of bone health and falls Balance of treatment as well as prevention Different findings from Scottish Hip Fracture Audit, Local Hospital Activity Data and ISD The Problem and a way forward Problem Conflicting views from different sources about trends in hip fractures (numbers and rates) in Fife What is the correct picture? How do trends compare across Scotland? The need for an agreed, consistent approach to understand the epidemiology of hip fractures Potential Solution Feasibility of using routine data to study epidemiology ISD Acute Activity – by Diagnosis Population based numbers rates, recent trends for episodes and incidence are already provided: Incidence based on: first occurrence of diagnosis with a 10 year look-back period. Fractures of Femur (ICD10 – S72) i.e. not only hip fracture. Figures hard to find – see /Health-Topics/Hospital-Care/Diagnoses/ Proposed new approach Methods ISD SMR01 dataset Hip fractures admitted to hospital for residents of NHS Boards (treated anywhere) ICD9 code 820 and ICD10 codes S72.0 - S72.2, in any diagnostic position Episodes grouped into continuous inpatient stays 12 month follow-up period applied from the date of discharge from hospital If the patient is readmitted within 12 months, admission classed as related to initial admission. A patient will not be counted more than once in any specific year. Agreement with local Geriatrician and Orthopaedic surgeon in Fife Analysis by NHS Board and Scotland Definitions ICD-9 820 Fracture Neck of Femur and ICD-10 Code Description S72.0 Fracture of neck of femur S72.1 Pertrochanteric fracture S72.2 Subtrochanteric fracture Diagnostic position on SMR01 record Any diagnostic position Though NHS ISD us