Comparison/Benchmark Outcome Data Nottingham
City Hospital (NCH) & Partnership Health Group (PHG)
1. INTRODUCTION
The data collection was not standardised,
but approximates each other and for practical purposes adequately
illustrates the point being made.
The basis of PHG data is DOH KPI
returns.
The period of comparison is one year's
data but is not the same period.
2. PERIOD OF
DATA COLLECTED
|
Nottingham City Hospital (NCH) | Partnership Health Group (PHG)
|
18 August 200317 August 2004 | 1 April 200430 March 2005
|
|
3. NUMBER OF
OPERATIONS
|
| NCH
| PHG
Total Majors1,462
|
|
Hip Replacement | 351
| 626 |
Knee Replacements | 343
| 836 |
Revision Replacements | |
|
Knee | 25 |
0 |
Hip | 64 |
6 |
|
4. MEDIAN AGE
Hip Replacement
|
| NCH
| PHG |
|
| Male
| Female | Male
| Female |
Overall | 67
| 71 | 69
| 68 |
Hip Replacement | 65.5
| 69 | 68
| 68 |
Knee Replacement | 70
| 72 | 70
| 68 |
|
5. MEDIAN LENGTH
OF STAY
BY OPERATION
|
| NCH
| PHG |
|
| Male
| Female | Male/Female Combined
|
Overall | 6
| 7 | 5.6
|
Hip Replacement | 6
| 7 | 5.7
|
Knee Replacement | 7
| 7 | 5.5
|
|
PHG LOS not measured by sex and average LOS per
procedure, not median 6. POST-OPERATIVE
IN-HOSPITAL
COMPLICATION (OUTCOMES
DATA)
|
Complication | NCH All Compl: 694
| PHG All Compl: 1462
|
| No
| % | No
| % |
|
Dislocation | 0
| 0 | 4
| 0.27 |
DVT | 6 |
0.9 | 0
| 0 |
PE | 15 |
2.2 | 0
| 0 |
MI | 6 |
0.9 | 1
| 0.06 |
Stroke/CVA | 2
| 0.3 | 0
| 0 |
Urinary Retention | 4
| 0.6 | 1
| 0.06 |
Blood Transfusion | 107
| 15.4 | 78
| 5.3 |
GI Bleed | 7
| 1.0 | 1
| 0.06 |
Pressure Sore | 4
| 0.6 | 0
| 0 |
Re-op Same Admission | 4
| 0.6 | 1
| 0.06 |
Haematoma | 21
| 3.0 | 1
| 0.06 |
Death | 2 |
0.3 | 3
| 0.20 |
Lower Respiratory Tract Infection | 5
| 0.7 | 0
| 0 |
UTI | 9 |
1.2 | 0
| 0 |
Hosp Acquired Infection | 3
| 0.4 | 0
| 0 |
Major Wound Infection | 12
| 1.7 | 0
| 0 |
Minor Wound Infection | 2
| 0.3 | 1
| 0.06 |
|
7. POST-OPERATIVE
COMPLICATIONS AFTER
SIX WEEKS
|
Complication | NCH
| PHG |
| No
| % | No
| % |
|
MUA | 4 |
0.8 | 2
| 0.13 |
Dislocation | 1
| 0.2 | 1
| 0.06 |
DVT | 9 |
1.8 | 1
| 0.06 |
PE | 6 |
1.2 | 0
| 0 |
MI | 3 |
0.6 | 0
| 0 |
Stroke/CVA | 1
| 0.2 | 0
| 0 |
Lower Resp. Tract. | 5
| 1.0 | 0
| 0 |
Urinary Retention | 10
| 2.0 | 0
| 0 |
Major Wound Infection | 21
| 4.1 | 1
| 0.06 |
Minor Wound Infection | 53
| 10.5 | 1
| 0.06 |
Haematoma | 10
| 2.0 | 0
| |
|
8. RE-ADMISSION
TO HOSPITAL
WITHIN 30 DAYS
|
| NCH All694
| PHG All1462
|
| No
| % | No
| % |
|
DVT +ve | 7
| 1.0 | 3
| 0.2 |
DVT -ve | 13
| 1.9 | 6
| 0.4 |
Major Wound Infection | 6
| 0.9 | 1
| 0.06 |
PE | 4 |
0.6 | 1
| 0.06 |
Haematoma | 4
| 0.6 | 1
| 0.06 |
MI | 3 |
0.4 | 0
| 0 |
INR Monitoring (Planned) | 3
| 0.4 | 0
| 0 |
UTI | 2 |
0.3 | 0
| 0 |
Arm/Wrist | 2
| 0.3 | 0
| 0 |
|
9. RE-ADMISSION
TO HOSPITAL
WITHIN 30 DAYS
|
| NCH All507
| PHG All1462
|
| No
| % | No
| % |
|
Lower Resp Tract Infection | 2
| 0.3 | 0
| 0 |
Duodenal Ulcer | 1
| 0.1 | 0
| 0 |
MUA | 2 |
0.3 | 2
| 0.13 |
Minor Wound Infection | Not available
| Not available | 9
| 0.61 |
Dislocation | Not available
| Not available | 4
| 0.27 |
Revision/Replacement | Not available
| Not available | 4
| 0.27 |
|
10. CANCELLATION, DAY
OF SURGERY
WITH REASONS
|
Reason | NCH
| PHG |
| No of
Patients
| % of all
Operations
| No of
Patients
| % of all
Operations
|
|
Cancelled Clinical Reasons | 25
| 3.6% | 56
| 3.8% |
Cancelled Non-Clinical Reasons | 16
| 2.3% | 14
| 0.95% |
|
* All information was provided by the Strategic Health Authority
(Trent)
|