Hip fracture: surgery on the day or day after admission
Indicator
The proportion of people with hip fracture, who receive surgery on the day of, or the day after, admission.
Indicator type
Network / system level indicator.
The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
This document does not represent formal NICE guidance. For a full list of NICE indicators, see our menu of indicators.
To find out how to use indicators and how we develop them, see our NICE indicator process guide.
Rationale
The NICE guideline on hip fracture highlights that hip fracture surgery is complex and requires a number of professionals to be involved in preparing the person for surgery and ensuring that appropriate support structures are in place to facilitate recovery post-surgery. In the past, this has led to delays in people having surgery, causing further pain and distress to the patient. This indicator should highlight where there are good and poor-quality processes in place to facilitate timely surgery.
Source guidance
Hip fracture: management. NICE guideline CG124 (2011, updated 2023), recommendations 1.2.1 and 1.5.1
Specification
Numerator: The number in the denominator who receive surgery on the same day of, or the day after, admission.
Denominator: The number of people on the National Hip Fracture Database.
Calculation: Numerator divided by the denominator, multiplied by 100.
Exclusions: People 59 years and under, people who died on the day, or day after, admission (unless they underwent surgery).
Data source: National Hip Fracture Database.
Minimum population: The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
ISBN: 978-1-4731-5876-4