Hospitalized Hip Fracture Event

Methodology

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Identifying Information

Name

Hospitalized Hip Fracture Event

Short/Other Names

Not applicable

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.

Interpretation

Lower rates are desirable.

HSP Framework Dimension

Health system outputs: Appropriate and effective

Areas of Need

Staying Healthy

Targets/Benchmarks

Not applicable

Availability of Results

Available Data Years

2010 to 2022 (fiscal years)

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

National
Province/Territory
Region
Neighbourhood Income Quintile

Result Updates

Indicator Results

Web Tool:

Update Frequency

Every year

Latest Results Update Date

November 2023

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

Type of Measurement

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

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)

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

Standard Population:
Canada 2011

Adjustment Applied

Age-adjusted

Geographic Assignment

Place of residence

Data Sources

DAD
HMDB

Quality Statement

Caveats and Limitations

Not applicable

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.

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