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Hip fracture outcomes in the household population
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by Gisèle Carrière
Keywords
Author credit
Findings
The questions
Data sources
Limitations
References
Keywords:
hip fracture, stroke, outcomes, self-perceived health, health status, home care
Author credit
Gisèle Carrière (telephone: 604-666-5907; Email: Gisele.Carrière@statcan.gc.ca), is with the Health Information and Research Division at Statistics Canada, and is based in the office of the Western Region and Northern Territories in Vancouver, British Columbia.
Findings
According to national information based on hospital records, during the 2003/2004 fiscal year, 23,621 Canadians aged 60 or older were discharged from acute care hospitals after being treated at least once for a hip fracture (data not shown). They accounted for 3% of all patients in this age group discharged from such hospitals over this period.
This article presents a profile of Canadians aged 60 or older who had sustained a hip fracture and were living in a household during the year after that fracture. [Full text]
The questions
Respondents to the 2003 Canadian Community Health Survey (CCHS) were asked if they had suffered an injury in the past 12 months. Those who had were then asked about the nature of the most serious injury. Respondents whose most serious injury involved broken or fractured bones were asked which body part was involved. Three groups were used for this analysis: hip fracture; thigh, knee, lower leg, ankle or foot fracture; shoulder, arm, wrist or hand fracture. [Full text]
Data sources
Numbers of acute care hospital patients for the 2003/2004 fiscal year are based on information extracted from the Health Person-oriented Database (HPOI), which is maintained by Statistics Canada. Records of individual patients were linked to produce patient-oriented data. [Full text]
Limitations
Interviews for 1,300 Canadian Community Health Survey (CCHS) respondents aged 60 or older (5.6% of the weighted total used) were completed by proxy; therefore, the accuracy of the responses about self-perceived general health and health status compared with one year earlier cannot be determined. Questions about mental health, life satisfaction and sense of community belonging were not asked in proxy interviews and were coded as “not stated.”
CCHS information was self-reported and there was no external validation of responses. No information was available on the chronology of injury events or past stroke. The data are cross-sectional; no inferences about temporal ordering or causality can be made. While living arrangements may suggest social support, this variable does not measure frequency or quality of contact, or whether support or assistance was provided.
References
- Wiktorowicz ME, Goeree R, Papaioannou A, et al. Economic implications of hip fracture: Health service use, institutional care and cost in Canada. Osteoporosis International, 2001; 12: 271-278.
- Wilkins K. Medications and fall-related fractures in the elderly. Health Reports (Statistics Canada, Catalogue 82-003) 1999; 11(1): 45-53.
- Wilkins K. Injuries. Health Reports (Statistics Canada, Catalogue 82-003) 2004; 15(3): 43-5.
- Béland Y. Canadian Community Health Survey—Methodological overview. Health Reports (Statistics Canada, Catalogue 82-003) 2002; 13(3): 9-14.
- Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly 1973; 51: 95-124.
- Rao JNK, Wu GFJ, Yue K. Some recent work on resampling methods for complex surveys. Survey Methodology (Statistics Canada, Catalogue 12-001) 1992; 18(2): 209-17.
- Rust K, Rao JNK. Variance estimation for complex surveys using replication techniques. Statistical Methods in Medical Research, 1996; 5: 281-310
- Marottoli RA, Berkman LF, Leo-Summers MPH, et al. Predictors of mortality and institutionalization after hip fracture: The New Haven EPESE Cohort. American Journal of Public Health, 1994; 84(11): 1807-12.
