Indicator Metadata

NameHospitalized 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.

InterpretationLower rates are desirable.
HSP Framework Dimension

Health System Outputs: Appropriate and effective

Areas of Need

Staying Healthy

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

National, Province/Territory, Region, Neighbourhood Income Quintile

Indicator Results

http://yourhealthsystem.cihi.ca/epub/?language=en

Identifying Information
NameHospitalized Hip Fracture Event
Short/Other Names

Not applicable

Indicator Description and Calculation
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.

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

Calculation: Geographic Assignment

Place of residence

Calculation: Type of Measurement

Rate - per 100,000

Calculation: Adjustment Applied

Age-adjusted

Calculation: Method of Adjustment

Direct Standardization
Standard Population:
Canada 2011

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:
1. 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)

2. Age at admission: 65 and older

3. Sex recorded as male or female

4. Admission to an acute care institution (Facility Type Code = 1)
Exclusions:
1. Records with an invalid health card number

2. Records with an invalid code for province issuing health card number

3. Records with an invalid admission date

4. Cadaveric donor or stillbirth records (Admission Category Code = R or S)

5. Hip fracture admissions within 28 days after the admission date of a previous hip fracture hospitalization

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

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.

Availability of Data Sources and Results
Data Sources

DAD, Demography division, Statistics Canada, HMDB

Available Data Years

Type of Year:
Fiscal
First Available Year:
2007
Last Available Year:
2015

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

National, Province/Territory, Region, Neighbourhood Income Quintile

Result Updates
Update Frequency

Every year

Indicator Results

Web Tool:
Health Indicators E-publication
URL: http://yourhealthsystem.cihi.ca/epub/?language=en

Updates

This indicator replaced the Hip Fracture Hospitalization Rate indicator starting with the 2007 data year.

The methodology has been revised so that transfers are not counted as separate hospitalizations.

Quality Statement
Caveats and Limitations

Not applicable

Trending Issues

Data for this indicator is available from the 2007 data year onward, while data for the Hip Fracture Hospitalization Rate indicator is available for years 1997–1998 to 2005–2006. In addition, the methodologies for the two indicators are different.

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.