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1、Age standardised Death rate Fracture of Femur age 65-84 2003-2005Age standardised Death rate Fracture of Femur age 85+ 2003-2005Age specific Death rate Fracture of Femur England & Wales 2003-2005Age standardisedDeath rate Fracture of FemurAge 65+ England & WalesICD codes Deaths Fracture FemurEngland
2、 & Wales 2005S72.0 Neck 2568S72.1 Pertrochanteric37S72.2 Subtrochanteric7S72.3 Shaft19S72.4 Lower37S72.7 Multiple4S72.9 Unspecified292S72Total Femur2964Possible reasons for high death rateHigh incidenceHigh fatality rateInferior careSome other reasonDiagnostic or coding artefactAge standardisedAdmis
3、sion rate Fracture Neck of FemurAge 65+ 2004/05Hospital Admission rateFracture neck of FemurEngland 2005/06Trends in Hospital admissions for Fracture Neck of Femur England & Wales 1959-1977Source Lewis AF BMJ 1981; 283, 1217-1220Age standardised Admission rate Fracture Neck of FemurAge 65+Indirectly
4、 age standardised Death rate within 30 days of admission for Fracture Neck of Femur 2003-2004Indirectly age standardised Percent returning to usual residence after Fracture Neck of Femur 2003/04Indirectly age standardised % Operated on within 48 hrs of admission for Fracture Neck of Femur 2003/04Cla
5、ssification of hip fracturesOperative management of Fracture Neck of Femur 2005/06Ratio of Death and Admission rates age specificFractured Neck of Femur England 2004/05Fatality rate after Admission for Fracture Neck of FemurRecord linkage studySource Goldacre MJ, Roberts SE, Yeates BMJ 2002; 325, 86
6、8-869All DeathsMention of FNOFWithin 30 days10.5%4.5%Within 90 days18.8%6.9%Within 180 days24.6%7.7%nchod Data specification Fracture Neck of Femur “ Cause data for fractures should be used with great care because of the effects of artefactual local differences resulting from variations in certification procedures between coroners. Deaths caused by fracture neck of femur are also under recorded because there are a number of alternatives for classifying such deaths. For these reasons, variations between areas should be interpreted with caution”
