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Worrying findings on mortality rates

An international study has found that high-need older patients had the highest mortality rates of any country, despite performing relatively well on several other measures of quality of hospital care.

An international study has used electronic medical records to compare the cost and quality of care between healthcare systems in 11 OECD countries, including the NHS in England. The International Collaborative on Costs, Outcomes and Needs in Care (ICCONIC) study has been led by researchers at Harvard University and LSE, and co-funded by the Commonwealth Fund and the Health Foundation. The data for England – compiled and analysed by the Health Foundation – has focused on two groups of high-need older patients which represent priority areas for the NHS and other health systems – those hospitalised with a hip fracture and those hospitalised with heart failure who also have diabetes. 

Looking at pre-pandemic data from 2014/15 to 2017/18, the study found that, for both groups of patients, England had the highest mortality rates of any country, despite performing relatively well on several other measures of quality of hospital care. One year after hip fracture surgery, almost a third (31%) of patients in England had died of any cause compared with less than a quarter of patients in in Canada (23%), Australia (22%) and France (20%).  

Another key area where England stands out from other countries included in the analysis is the length of time that hip fracture patients spend in hospital. Patients in England spent an average of 21.7 days in hospital after their surgery – the highest of all 11 countries evaluated. 

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Upcoming Events

Central Sterilising Club - Annual Scientific Meeting 2024

Crowne Plaza at Gerrard’s Cross
15th April 2024 – 16th April 2024

DECON UK 2024

National Conference Centre, Birmingham
17th April 2024

Infection Prevention & Control

National Conference Centre, Birmingham
23rd - 24th April 2024

Theatres & Decontamination Conference 2024

Coventry Building Society Arena
16th May 2024

The AfPP Roadshow - Birmingham

Millennium Point, Birmingham
18th May 2024

The AfPP Roadshow - Exeter

University of Exeter
22nd June 2024

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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