"Identifying Information: Name","Hospitalized Hip Fracture Event"
"Identifying Information: Short/Other Names","Not applicable"
"Identifying Information: Description","This indicator measures the age-standardized rate of new hip fractures admitted to an acute care hospital, per 100,000 population age 65 and older

A new event is defined as a first-ever hospitalization for hip fracture or a subsequent hip fracture occurring more than 28 days after admission for the previous event in the reference period.

For further details, please see the General Methodology Notes (PDF)."
"Background, Interpretation and Benchmarks: Rationale","Hip fractures represent a significant health burden for seniors and for the health system. As well as causing disability or death, hip fracture may have a major effect on independence and quality of life. Measuring the occurrence of hip fractures in the population is important for planning and evaluating preventive strategies, allocating health resources and estimating costs."
"Background, Interpretation and Benchmarks: Interpretation","Lower rates are desirable."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","Appropriate and effective"
"Background, Interpretation and Benchmarks: Areas of Need","Staying Healthy"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Not applicable"
"Available Data Years","2010
 to 2022"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","All provinces/territories"
"Reporting Level/Disaggregation",National
"Result Updates: Indicator Results","Web Tool:
Health Indicators e-Publication"
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","November 2023"
"Result Updates: Updates","Not applicable"
"Indicator Calculation: Description","(Total number of new hip fracture events for persons age 65 and older ÷ Total mid-year population age 65 and older) × 100,000 (age-adjusted)

Unit of Analysis: Single admission"
"Indicator Calculation: Type of Measurement",Rate
"Indicator Calculation: Number or Rate","per 100,000"
"Denominator: Description:","Total mid-year population age 65 and older"
"Numerator: Description:","Total number of new hip fracture events for persons age 65 and older"
"Numerator: Inclusions:","Hip fracture present on admission
	ICD-10-CA: S72.0, S72.1 or S72.2 or ICD-9/ICD-9-CM: 820.0–820.3, 820.8 or 820.9 coded as diagnosis type (1), [type (C) for Quebec data only] or type (M), (W), (X) or (Y) but not also as a diagnosis type (2)
	Age at admission: 65 and older
	Sex recorded as male or female
	Admission to an acute care institution (Facility Type Code = 1)"
"Numerator: Exclusions:","Records with an invalid health card number
	Records with an invalid code for province issuing health card number
	Records with an invalid admission date
	Cadaveric donor or stillbirth records (Admission Category Code = R or S)
	Hip fracture admissions within 28 days after the admission date of a previous hip fracture hospitalization
	Patients with medical assistance in dying (MAID) (Discharge Disposition Code = 73)"
"Method of Adjustment","Direct standardization"
"Method of Adjustment: Direct Standardization - Standard Population","Standard Population:
Canada 2011"
"Adjustment Applied",Age-adjusted
"Indicator Calculation: Geographic Assignment","Place of residence"
"Data Sources",DAD
"Quality Statement: Caveats and Limitations","Not applicable"
"Quality Statement: Trending Issues","Not applicable"
"Quality Statement: Comments","This indicator includes all new hospitalized hip fractures in the reference period, encompassing first-ever and recurrent events.

A person may have more than one hip fracture event in the reference period.

Hip fractures not admitted to an acute care hospital and in-hospital hip fractures are not included in this indicator.

Hip fractures occurring in a hospital are reported separately in the In-Hospital Hip Fracture indicator."
References,"Chevalley T, Guilley E, Hermann FR, et al. Incidence of Hip Fracture over a 10-Year Period (1991-2000): Reversal of a Secular Trend. Bone 2007;(40): 1284-1289.

Marks R, Allegrante JP, MacKenzie CR, Lane JM. Hip Fractures Among the Elderly: Causes, Consequences and Control. Ageing Res. Rev 2003;(2): 57-93."