Deaths from Fracture Neck of Femu从股骨颈骨折的死亡.pptVIP

Deaths from Fracture Neck of Femu从股骨颈骨折的死亡.ppt

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Deaths from Fracture Neck of Femu从股骨颈骨折的死亡

Deaths from Fracture Neck of Femur Age standardised Death rate Fracture of Femur age 65-84 2003-2005 Age standardised Death rate Fracture of Femur age 85+ 2003-2005 Age specific Death rate Fracture of Femur England Wales 2003-2005 Age standardised Death rate Fracture of Femur Age 65+ England Wales ICD codes Deaths Fracture Femur England Wales 2005 Possible reasons for high death rate High incidence High fatality rate Inferior care Some other reason Diagnostic or coding artefact Age standardised Admission rate Fracture Neck of Femur Age 65+ 2004/05 Hospital Admission rate Fracture neck of Femur England 2005/06 Trends in Hospital admissions for Fracture Neck of Femur England Wales 1959-1977 Source Lewis AF BMJ 1981; 283, 1217-1220 Age standardised Admission rate Fracture Neck of Femur Age 65+ Indirectly age standardised Death rate within 30 days of admission for Fracture Neck of Femur 2003-2004 Indirectly age standardised Percent returning to usual residence after Fracture Neck of Femur 2003/04 Indirectly age standardised % Operated on within 48 hrs of admission for Fracture Neck of Femur 2003/04 Classification of hip fractures Operative management of Fracture Neck of Femur 2005/06 Ratio of Death and Admission rates age specific Fractured Neck of Femur England 2004/05 Fatality rate after Admission for Fracture Neck of Femur Record linkage study Source Goldacre MJ, Roberts SE, Yeates BMJ 2002; 325, 868-869 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” * 2964 Total Femur S72 292 Unspecified S72.9 4 Multiple S72.7 37 Lower S72.4 19 Shaft S72.3 7

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