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A critical evaluation of HIPE data

A O'Callaghan1, M P Colgan, C McGuigan

  • 1St James's Hospital, James's St, Dublin 8.

Irish Medical Journal
|March 9, 2012
PubMed

Insights

The Hospital Inpatient Enquiry (HIPE) system shows significant inaccuracies in recording vascular procedure volumes. This data unreliability impacts resource allocation and future healthcare planning.

Area of Science:

  • Health Informatics
  • Vascular Surgery Data Analysis

Background:

  • Accurate procedural data is crucial for healthcare resource allocation and service planning.
  • The Hospital Inpatient Enquiry (HIPE) system is a key source for such data.

Purpose of the Study:

  • To evaluate the accuracy of vascular procedure data recorded by the HIPE system.
  • To compare HIPE data with a prospective vascular database for specific procedures.

Main Methods:

  • Selected five index vascular procedures (e.g., aneurysm repair, carotid endarterectomy).
  • Interrogated HIPE and Economic and Social Research Institute (ESRI) databases for 2005, 2006, and 2009.
  • Compared HIPE data with St James's hospital's prospective vascular database for 2006.

Main Results:

  • Significant discrepancies were found between HIPE and vascular database figures for St James's hospital in 2006.
  • Examples include open aneurysm repair (-50%), endovascular aneurysm repair (+25%), carotid endarterectomy (+29%), angioplasty (+100%), and bypass (+100%).

Conclusions:

  • The HIPE system demonstrates considerable inaccuracies in capturing vascular procedure volumes.
  • These inaccuracies, if extrapolated regionally and nationally, could significantly skew healthcare planning and resource allocation.

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