Data including the number of admissions with acute closed neck of femur fractures (ICD-10 codes S72, S72.0, S72.1, S72.2) to New Zealand hospitals each year for the years 2014 to 2024. This should be broken down into 5 year age brackets with quantities from within each age bracket. This data should be extracted from Te Whatu Oras hospital admission coding. Data should also include the average cost per admission including Public Health Acute Services payments within the first 6 weeks from injury.
The aim of collecting this data is to analyse it to estimate the neck of femur fracture rates in New Zealand for a research paper. It would aim to predict the future burden using population data. It would also aim to calculate the average cost to the health system of caring for a patient with a neck of femur fracture.
This data will allow us to analyse the changes in rate of neck of femur fractures in New Zealand. It will estimate the current costs of neck of femur fracture claims and project into the future those costs to allow for predictions of future healthcare expenditure and planning of service provision.
Dataset submitted
The information you have requested is publicly available through our online web tool. To access it: • Click on ‘Publicly funded hospitalisations’ in the top menu bar. • Then select ‘Latest annual tables of publicly funded hospitalisations’ from the drop-down menu. The web tool includes tables for the years 2019/20 to 2022/23. Data for previous years (2012/13 to 2018/19) is available at the following link: https://www.tewhatuora.govt.nz/for-health-professionals/data-and-statistics/hospital-event/publicly-funded-hospital-discharges-series To locate the selected ICD codes, you can use the Excel search function within the downloaded tables to find ‘S72’. The codes are presented in numerical order in the spreadsheets. Please see below for the cost information. Note the caveat included regarding the use of this data. This data is provisional and intended for operational purposes. It has not undergone the full quality assurance process applied prior to publication and is therefore subject to change. We are only able to provide cost data from 2015 onwards. Accordingly, the previous year is refused under section 18(g) of the OIA, as the information is not held. - The table below shows an estimate of the average cost per event for Fractured Neck of Femur admitted patients in Health New Zealand hospitals for the decade up to and including 2024/25. The average cost is measured in terms of national reference prices for the respective year. - These values will be different from the actual costs incurred in each District and/or for each event. The information is indicative only and is based on cost data aggregated from Districts across New Zealand. Figures are GST exclusive. - Reference prices are based on data collected three years prior (i.e. 2021/22 informs 2024/25 reference prices) and are projected using point-in-time inflationary assumptions to estimate reference values for the year of the price. Therefore, this does not account for specific cost variances and real time factors that may impact actual costs. - Efficiency factors have been applied to prices for internal purposes and do not therefore necessarily represent actual costs and are subject to the usual caveats of data modelling, averaging, and cost allocation of indirect and overhead costs. - Health New Zealand Reference Prices are prepared for internal, administrative purposes to support internal resource allocation, benchmarking and analysis. - Please note, the data goes back to the District Health Board (DHB) structure prior to the establishment of Health New Zealand, where the use of national reference prices was different from the use under Health New Zealand. - Fractured Neck of Femur admitted patient activity was defined by the presence of one of the following diagnosis codes being found on the event record: S7200 Fracture of neck of femur, part unspecified S7201 Fracture of intracapsular section of femur S7202 Fracture of upper epiphysis (separation) of femur S7203 Fracture of subcapital section of femur S7204 Fracture of midcervical section of femur S7205 Fracture of base of neck of femur S7208 Fracture of other parts of neck of femur S7210 Fracture of trochanteric section of femur, unspecified S7211 Fracture of intertrochanteric section of femur S722 Subtrochanteric fracture - The above diagnosis codes are sourced from the clinical coding classification in use in each of the years of this time series - The information must be used with these limitations in mind. Table 1: Ten Year Series of Average Reference Cost per Event for Fractured Neck of Femur Inpatient admissions Financial Year Average Cost per Event 2015/16 $14,694.47 2016/17 $14,902.15 2017/18 $14,644.60 2018/19 $15,619.68 2019/20 $15,996.39 2020/21 $17,386.21 2021/22 $19,038.01 2022/23 $20,703.45 2023/24 $22,807.24 2024/25 $25,202.37
1 Vote
Agency responded