Patient and care characteristics of 168 340 patients with a first hip fracture, by hospital type at admission
| Characteristic | Hospital type; no. (%) of patients | ||||
|---|---|---|---|---|---|
| All n = 168 340 | Teaching n = 58 799 | Community, large n = 68 743 | Community, medium n = 29 684 | Community, small n = 9343 | |
| Age at admission, yr | |||||
| 65–74 | 25 314 (15.0) | 9188 (15.6) | 9921 (14.4) | 4399 (14.8) | 1503 (16.1) |
| 75–84 | 65 684 (39.0) | 22 768 (38.7) | 26 991 (39.3) | 11 629 (39.2) | 3537 (37.9) |
| 85–94 | 68 154 (40.5) | 23 548 (40.0) | 28 107 (40.9) | 12 093 (40.7) | 3763 (40.3) |
| ≥ 95 | 9188 (5.5) | 3295 (5.6) | 3724 (5.4) | 1563 (5.3) | 540 (5.8) |
| Female sex* | 122 696 (72.9) | 42 680 (72.6) | 50 280 (73.1) | 21 746 (73.3) | 6684 (71.5) |
| Fracture type† | |||||
| Transcervical | 87 248 (51.8) | 30 491 (51.9) | 35 056 (51.0) | 15 644 (52.7) | 5180 (55.4) |
| Pertrochanteric | 73 093 (43.4) | 25 312 (43.0) | 30 360 (44.2) | 12 781 (43.1) | 3798 (40.7) |
| Subtrochanteric | 7999 (4.8) | 2996 (5.1) | 3327 (4.8) | 1259 (4.2) | 365 (3.9) |
| Calendar year of admission | |||||
| 2004 | 18 927 (11.2) | 6738 (11.5) | 7352 (10.7) | 3215 (10.8) | 1115 (11.9) |
| 2005 | 18 971 (11.3) | 6703 (11.4) | 7424 (10.8) | 3285 (11.1) | 1122 (12.0) |
| 2006 | 18 393 (10.9) | 6456 (11.0) | 7163 (10.4) | 3334 (11.2) | 1106 (11.8) |
| 2007 | 18 492 (11.0) | 6438 (10.9) | 7363 (10.7) | 3357 (11.3) | 1135 (12.1) |
| 2008 | 18 446 (11.0) | 6427 (10.9) | 7580 (11.0) | 3263 (11.0) | 1079 (11.5) |
| 2009 | 18 575 (11.0) | 6501 (11.1) | 7727 (11.2) | 3236 (10.9) | 1031 (11.0) |
| 2010 | 18 583 (11.0) | 6383 (10.9) | 7857 (11.4) | 3280 (11.0) | 971 (10.4) |
| 2011 | 18 628 (11.1) | 6505 (11.1) | 7906 (11.5) | 3278 (11.0) | 914 (9.8) |
| 2012 | 19 325 (11.5) | 6648 (11.3) | 8371 (12.2) | 3436 (11.6) | 870 (9.3) |
| Comorbidity‡ | |||||
| Heart failure | 14 250 (8.5) | 5048 (8.6) | 5709 (8.3) | 2488 (8.4) | 840 (9.0) |
| COPD | 9315 (5.5) | 3117 (5.3) | 3604 (5.2) | 1816 (6.1) | 651 (7.0) |
| Ischemic heart disease, acute | 10 614 (6.3) | 3928 (6.7) | 4151 (6.0) | 1864 (6.3) | 550 (5.9) |
| Cardiac dysrhythmia | 16 023 (9.5) | 5526 (9.4) | 6733 (9.8) | 2758 (9.3) | 848 (9.1) |
| Ischemic heart disease, chronic | 2955 (1.8) | 1048 (1.8) | 1240 (1.8) | 481 (1.6) | 147 (1.6) |
| Hypertension | 9982 (5.9) | 3453 (5.9) | 4254 (6.2) | 1688 (5.7) | 495 (5.3) |
| Diabetes | 7862 (4.7) | 2877 (4.9) | 3125 (4.5) | 1325 (4.5) | 463 (5.0) |
| Transferred to another facility | 14 273 (8.5) | 531 (0.9) | 697 (1.0) | 6238 (21.0) | 6653 (71.2) |
| Province/territory | |||||
| Newfoundland and Labrador | 3821 (2.3) | 2243 (3.8) | 631 (0.9) | 783 (2.6) | 164 (1.8) |
| Prince Edward Island | 1208 (0.7) | 0 | 1116 (1.6) | 33 (0.1) | 59 (0.6) |
| Nova Scotia | 7164 (4.3) | 2820 (4.8) | 1320 (1.9) | 2820 (9.5) | 204 (2.2) |
| New Brunswick | 5908 (3.5) | 1228 (2.1) | 2943 (4.3) | 1516 (5.1) | 189 (2.0) |
| Ontario | 81 556 (48.4) | 21 576 (36.7) | 39 527 (57.5) | 15 563 (52.4) | 3163 (33.9) |
| Manitoba | 9625 (5.7) | 794 (1.4) | 5940 (8.6) | 2106 (7.1) | 778 (8.3) |
| Saskatchewan | 8802 (5.2) | 6686 (11.4) | 439 (0.6) | 722 (2.4) | 955 (10.2) |
| Alberta | 18 330 (10.9) | 11 739 (20.0) | 4080 (5.9) | 634 (2.1) | 1876 (20.1) |
| British Columbia | 31 660 (18.8) | 11 713 (19.9) | 12 747 (18.5) | 5404 (18.2) | 1792 (19.2) |
| Northwest, Nunavut or Yukon Territories | 266 (0.2) | 0 | 0 | 103 (0.3) | 163 (1.7) |
| Day of admission | |||||
| Weekday | 121 857 (72.4) | 42 293 (71.9) | 49 517 (72.0) | 21 722 (73.2) | 7052 (75.5) |
| Weekend | 46 483 (27.6) | 16 506 (28.1) | 19 226 (28.0) | 7962 (26.8) | 2291 (24.5) |
| Time of admission§ | |||||
| 0000–0559 | 23 742 (14.1) | 10 844 (18.4) | 8829 (12.8) | 2989 (10.1) | 890 (9.5) |
| 0600–1159 | 23 632 (14.0) | 7046 (12.0) | 10 653 (15.5) | 4329 (14.6) | 1313 (14.1) |
| 1200–1759 | 56 881 (33.8) | 17 809 (30.3) | 23 249 (33.8) | 11 696 (39.4) | 3496 (37.4) |
| 1800–2359 | 63 987 (38.0) | 23 067 (39.2) | 25 949 (37.7) | 10 669 (35.9) | 3643 (39.0) |
| Type of surgery¶ | n = 154 382 | n = 54 847 | n = 64 054 | n = 26 576 | n = 7302 |
| Internal fixation | 92 445 (59.9) | 32 160 (58.6) | 38 844 (60.6) | 16 006 (60.2) | 4411 (60.4) |
| Arthroplasty | 61 937 (40.1) | 22 687 (41.4) | 25 210 (39.4) | 10 570 (39.8) | 2892 (39.6) |
| Timing of surgery¶** | |||||
| Admission day or day after | 98 532 (63.8) | 32 150 (58.6) | 45 476 (71.0) | 17 271 (65.0) | 2599 (35.6) |
| ≥ 2 d after admission | 55 845 (36.2) | 22 697 (41.4) | 18 576 (29.0) | 9305 (35.0) | 4703 (64.4) |
Note: COPD = chronic obstructive pulmonary disease.
↵* Does not include 19 patients with unknown sex.
↵† At admission; for 2084 patients with different fracture types at admission and surgery, the fracture type at surgery is presented.
↵‡ Identified using diagnosis codes from all hospital admissions in the year before the index admission.
↵§ Does not include 98 patients with unknown time of admission.
↵¶ Only for patients who underwent surgery.
↵** Does not include 5 patients with unknown timing of surgery.