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Falls Analyses

This report analyzes data concerning in-hospital mortality and secondary care admissions related to fragility fractures in patients aged 50 years and older. It includes detailed statistics on deaths and admissions by acute trust, focusing on fractures of the proximal femur and overall fragility fractures. The analysis spans data from 2008/09 and 2009/10, presenting standardized mortality ratios and other relevant metrics to assess the impact of fragility fractures on hospital mortality and patient care outcomes.

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Falls Analyses

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  1. Falls AnalysisMirrored Indicators with no fall recorded as secondary diagnosisfor patients aged 50 years and overFinal v1.0 09 March 2011

  2. Falls Analyses Contents: • F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust • F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust • F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust • F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level • F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust • F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level

  3. F1.1.1(2) - In hospital mortality for people admitted with fragility fracture, by acute trust

  4. F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust Table 1a: Observed number of deaths for for people admitted with fragility fracture (2008/09) Table 1b: Observed number of deaths for for people admitted with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  5. F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 1a: Standardised Mortality Ratio for people admitted with fragility fracture and 95% confidence intervals (2008/09) Data source: HES 2008/09

  6. 6 F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 1b: Standardised Mortality Ratio for people admitted with fragility fracture and 95% confidence intervals (2009/10) Data source: HES 2009/10

  7. 7 F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 2a: Funnel plot for SMR of people admitted with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  8. 8 F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust Chart 2b: Funnel plot for SMR of people admitted with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  9. F1.1.2(2) - In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust

  10. 10 F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust Table 1a: Observed number of deaths for people admitted with fragility fracture of the proximal femur (2008/09) Table 1b: Observed number of deaths for people admitted with fragility fracture of the proximal femur (2009/10) Data source: HES 2008/09, 2009/10

  11. 11 F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust Chart 1a: Standardised Mortality Ratio for people admitted with fragility fracture of the proximal femur and 95% confidence intervals (2008/09) Data source: HES 2008/09

  12. 12 F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust Chart 1b: Standardised Mortality Ratio for people admitted with fragility fracture of the proximal femur and 95% confidence intervals (2009/10) Data source: HES 2009/10

  13. 13 F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust Chart 2a: Funnel plot for SMR of people admitted with fragility fracture of the proximal femur showing 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  14. 14 F1.1.2(2) – In hospital mortality for people admitted with fragility fracture of the proximal femur, by acute trust Chart 2b: Funnel plot for SMR of people admitted with fragility fracture of the proximal femur showing 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  15. F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust

  16. 16 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Table 1a: Observed number of secondary care admissions with fragility fracture (2008/09) Table 1b: Observed number of secondary care admissions with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  17. 17 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Table 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture (2008/09) Table 1b: Indirectly Standardised Ratio of secondary care admissions with fragility fracture (2009/10) Data source: HES 2008/09, 2009/10

  18. 18 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture and 95% confidence intervals (2008/09) Data source: HES 2008/09

  19. 19 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture and 95% confidence intervals (2009/10) Data source: HES 2009/10

  20. 20 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1a: Funnel plot for secondary care admissions with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  21. 21 F1.2.1(2) – Rate of secondary care admissions with fragility fracture, by acute trust Chart 1b: Funnel plot for secondary care admissions with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  22. F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level

  23. 23 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 1a: Observed number of secondary care admissions with fragility fracture (2008/09) Data source: HES 2008/09

  24. 24 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 1b: Observed number of secondary care admissions with fragility fracture (2009/10) Data source: HES 2009/10

  25. 25 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 2a Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population per year (2008/09) Data source: HES 2008/09

  26. 26 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Table 2b: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population per year (2009/10) Data source: HES 2009/10

  27. 27 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 1a: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population and 95% confidence intervals (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  28. 28 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 1b: Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population and 95% confidence intervals (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  29. 29 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 2: Time Series of Directly Standardised Rate of secondary care admissions with fragility fracture per 100,000 population per year Data source: HES 2008/09 & 2009/10 and ONS 2008 & 2009 population estimates

  30. 30 F1.2.2(2) – Standardised rate of secondary care admissions with fragility fracture, at a population level Chart 3a: Funnel plot of secondary care admissions with fragility fracture with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  31. 31 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 3b: Funnel plot of secondary care admissions with fragility fracture with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  32. F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust

  33. 33 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Table 1a: Observed number of secondary care admissions with fragility fracture of the proximal femur (2008/09) Table 1b: Observed number of secondary care admissions with fragility fracture of the proximal femur (2009/10) Data source: HES 2008/09, 2009/10

  34. 34 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Table 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture of the proximal femur (2008/09) Table 1b: Indirectly Standardised Ratio of secondary care admissions with fragility fracture of the proximal femur (2009/10) Data source: HES 2008/09, 2009/10

  35. 35 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 1a: Indirectly Standardised Ratio of secondary care admissions with fragility fracture of the proximal femur and 95% confidence intervals (2008/09) Data source: HES 2008/09

  36. 36 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 1b: Indirectly Standardised Ratio of secondary care admissions with fragility fracture of the proximal femur and 95% confidence intervals (2009/10) Data source: HES 2009/10

  37. 37 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 2a: Funnel plot of secondary care admissions with fragility fracture of the proximal femur with 95% and 99.8% control limits (2008/09) Data source: HES 2008/09

  38. 38 F1.2.3(2) – Rate of secondary care admissions with fragility fracture of the proximal femur, by acute trust Chart 2b: Funnel plot of secondary care admissions with fragility fracture of the proximal femur with 95% and 99.8% control limits (2009/10) Data source: HES 2009/10

  39. F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level

  40. 40 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Table 1a: Observed number of secondary care admissions with fragility fracture of the proximal femur (2008/09) Data source: HES 2008/09

  41. 41 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Table 1b: Observed number of secondary care admissions with fragility fracture of the proximal femur (2009/10) Data source: HES 2009/10

  42. 42 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Table 2a Directly Standardised Rate of secondary care admissions with fragility fracture of the proximal femur per 100,000 population per year (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  43. 43 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Table 2a Directly Standardised Rate of secondary care admissions with fragility fracture of the proximal femur per 100,000 population per year (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  44. 44 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Chart 1a: Directly Standardised Rate of secondary care admissions with fragility fracture of the proximal femur per 100,000 population and 95% confidence intervals (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  45. 45 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Chart 1b: Directly Standardised Rate of secondary care admissions with fragility fracture of the proximal femur per 100,000 population and 95% confidence intervals (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  46. 46 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Chart 2: Time Series of Directly Standardised Rate of secondary care admissions with fragility fracture of the proximal femur per 100,000 population per year Data source: HES 2008/09 & 2009/10 and ONS 2008 & 2009 population estimates

  47. 47 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Chart 3a: Funnel plot of secondary care admissions with fragility fracture of the proximal femur showing 95% and 99.8% control limits (2008/09) Data source: HES 2008/09 and ONS 2008 population estimates

  48. 48 F1.2.4(2) – Standardised rate of secondary care admissions with fragility fracture of the proximal femur, by age and sex at a population level Chart 3b: Funnel plot of secondary care admissions with fragility fracture of the proximal femur showing 95% and 99.8% control limits (2009/10) Data source: HES 2009/10 and ONS 2009 population estimates

  49. Data Specifications

  50. F1.1.1(2) – In hospital mortality for people admitted with fragility fracture, by acute trust • Data Source: HES data 2008/09, 2009/10 • Data Details: Primary diagnosis recorded as fragility fracture for discharge episode (ICD10 codes: S72.0, S72.1, S72.2, S52, S82, S42, S32) Age at start of discharge episode greater or equal to 50 years old Admitted and discharged within year Discharge method equal to Death • Indicator: Numerator: Number of secondary care admissions with fragility fracture where the patient died in hospital Denominator: All admissions with a primary diagnosis of fragility fracture Presentation: By acute trust • Data Handling Notes: Indirectly standardised rate based on sex and age (5 year age bands from 50 to 89, and 90 and over)

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