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2005 National Healthcare Quality Report

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Postoperative hip fractures

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI).

Table

2.12 Postoperative hip fracture for adults per 1,000 surgical patients age 18 years and older who were not susceptible to falling (excluding obstetrical admissions), United States, 2001 and 2002.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample.

Denominator

Inpatient hospital surgical discharges age 18 and over who were not susceptible to falling, excluding patients with diseases and disorder of musculoskeletal system and connective tissue; patients admitted for seizures, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium, psychoses, or anoxic brain injury; patients with metastatic cancer, lymphoid malignancy, bone malignancy, or self-inflicted injury; and obstetrical patients.

Numerator

Subset of the denominator with any secondary diagnosis indicating hip fracture (ICD-9-CM code 8200-8203, 8208, 8209).

Comments

Rates are adjusted by age, gender, age-gender interactions, comorbidities, and Diagnosis Related Groups (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

This table was created using version 2.1, revision 2, of the AHRQ PSI software. This measure is referred to as indicator 8 in the software documentation. Further information about this and other safety and quality indicators is available from the AHRQ Quality Indicators website at http://www.qualityindicators.ahrq.gov.

Postoperative hemorrhage or hematoma. Selected infections due to medical care (discharge-based) and selected infections due to medical care (area-based).

 

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