Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
School of Clinical Medicine, Cambridge University Hospitals NHS Foundation Trust, UK.
Bone Joint J. 2016 Oct;98-B(10):1406-1409. doi: 10.1302/0301-620X.98B10.37089.
We present an audit comparing our level I major trauma centre's data for a cohort of patients with hip fractures in the National Hip Fracture Database (NHFD) with locally held data on these patients.
A total of 2036 records for episodes between July 2009 and June 2014 were reviewed.
The demographics of nine patients were recorded incorrectly. The rate of incorrect data in operation codes was most significant with overall accuracy of 0.637 (95% CI 0.615 to 0.658). The sensitivity of NHFD coding ranged from 0.250 to 1.000 and the specificity 0.879 to 0.999. The recording of cementation had a sensitivity of 0.932 and specificity of 0.713. The recording of total hip arthroplasty had a sensitivity of 0.739 and specificity of 0.983. The overall accuracy of mortality data was 0.942 (95% CI 0.931 to 0.952), with sensitivity of 0.967 and specificity of 0.419.
This paper highlights the need for local audit of the integrity of data uploaded to the NHFD. Cite this article: Bone Joint J 2016;98-B:1406-9.
我们展示了一项审计，比较了我们一级创伤中心在国家髋关节骨折数据库（NHFD）中髋关节骨折患者队列的数据，以及我们本地数据库中这些患者的数据。
共审查了 2036 例 2009 年 7 月至 2014 年 6 月期间的病历。
9 名患者的 9 名患者的人口统计学数据记录错误。手术代码中的错误数据率最高，总体准确率为 0.637（95%可信区间 0.615 至 0.658）。NHFD 编码的灵敏度范围为 0.250 至 1.000，特异性为 0.879 至 0.999。骨水泥固定的记录灵敏度为 0.932，特异性为 0.713。全髋关节置换术的记录灵敏度为 0.739，特异性为 0.983。死亡率数据的总体准确率为 0.942（95%可信区间 0.931 至 0.952），灵敏度为 0.967，特异性为 0.419。
本文强调了需要对上传到 NHFD 的数据的完整性进行本地审核。
Bone Joint J 2016;98-B:1406-9.
