Table 2 Characteristics of 151,952 patients who underwent surgery for first hip fracture in Canada, 2004–2012, overall and by demand
From: Variation in surgical demand and time to hip fracture repair: a Canadian database study
Demand, by clearance timea; no. (%) of patients | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
All patients(N = 151,952) | Benchmark demand(N = 61,090) | Medium demand(N = 71,183) | High demand(N = 17,192) | Excessive demand (N = 2487) | ||||||
n | (%) | n | (%) | n | (%) | n | (%) | n | (%) | |
Age, years | ||||||||||
65–74 | 22,859 | (15.0) | 9039 | (14.8) | 10,755 | (15.1) | 2646 | (15.4) | 419 | (16.8) |
75–84 | 59,688 | (39.3) | 23,899 | (39.1) | 27,970 | (39.3) | 6829 | (39.7) | 990 | (39.8) |
85–94 | 61,415 | (40.4) | 24,866 | (40.7) | 28,739 | (40.4) | 6850 | (39.8) | 960 | (38.6) |
≥ 95 | 7990 | (5.3) | 3286 | (5.4) | 3719 | (5.2) | 867 | (5.0) | 118 | (4.7) |
Sexb | ||||||||||
Women | 111,560 | (73.4) | 44,737 | (73.2) | 52,463 | (73.7) | 12,579 | (73.2) | 1781 | (71.6) |
Men | 40,375 | (26.6) | 16,345 | (26.8) | 18,712 | (26.3) | 4612 | (26.8) | 706 | (28.4) |
Prefracture health: fromc | ||||||||||
Home without comorbidity | 64,594 | (42.5) | 25,789 | (42.2) | 30,234 | (42.5) | 7486 | (43.5) | 1085 | (43.6) |
Home with comorbidity or home care | 27,467 | (18.1) | 10,895 | (17.8) | 12,870 | (18.1) | 3213 | (18.7) | 489 | (19.7) |
Facility | 31,644 | (20.8) | 12,864 | (21.1) | 14,725 | (20.7) | 3522 | (20.5) | 533 | (21.4) |
Elsewhere | 28,247 | (18.6) | 11,542 | (18.9) | 13,354 | (18.8) | 2971 | (17.3) | 380 | (15.3) |
Timing of admission | ||||||||||
Weekday 12 am to 3:59 pm | 51,797 | (34.1) | 20,809 | (34.1) | 24,161 | (33.9) | 5991 | (34.8) | 836 | (33.6) |
Weekday 4 pm to 11:59 pm | 57,894 | (38.1) | 23,274 | (38.1) | 27,293 | (38.3) | 6410 | (37.3) | 917 | (36.9) |
Weekend | 42,261 | (27.8) | 17,007 | (27.8) | 19,729 | (27.7) | 4791 | (27.9) | 734 | (29.5) |
Admission status | ||||||||||
Urgent/Emergency | 149,212 | (98.2) | 59,994 | (98.2) | 69,901 | (98.2) | 16,874 | (98.2) | 2443 | (98.2) |
Otherwise | 2740 | (1.8) | 1096 | (1.8) | 1282 | (1.8) | 318 | (1.8) | 44 | (1.8) |
Preoperative transfer history | ||||||||||
No | 138,836 | (91.4) | 55,714 | (91.2) | 64,983 | (91.3) | 15,839 | (92.1) | 2300 | (92.5) |
Yes | 13,116 | (8.6) | 5376 | (8.8) | 6200 | (8.7) | 1353 | (7.9) | 187 | (7.5) |
Preoperative procedures | ||||||||||
No | 135,077 | (88.9) | 54,447 | (89.1) | 63,318 | (89.0) | 15,166 | (88.2) | 2146 | (86.3) |
Yes | 16,875 | (11.1) | 6643 | (10.9) | 7865 | (11.0) | 2026 | (11.8) | 341 | (13.7) |
Medical reason for delayd | ||||||||||
No | 141,808 | (93.3) | 57,136 | (93.5) | 66,376 | (93.2) | 15,986 | (93.0) | 2310 | (92.9) |
Yes | 10,144 | (6.7) | 3954 | (6.5) | 4807 | (6.8) | 1206 | (7.0) | 177 | (7.1) |
Hospital type at surgerye | ||||||||||
Teaching | 59,281 | (39.0) | 23,574 | (38.6) | 29,105 | (40.9) | 6031 | (35.1) | 571 | (23.0) |
Community-Large | 69,597 | (45.8) | 29,132 | (47.7) | 31,378 | (44.1) | 8179 | (47.6) | 908 | (36.5) |
Community-Medium, Small | 21,508 | (14.2) | 7713 | (12.6) | 10,057 | (14.1) | 2779 | (16.2) | 959 | (38.6) |
Fracture type | ||||||||||
Transcervical | 79,127 | (52.1) | 31,897 | (52.2) | 37,126 | (52.2) | 8760 | (51.0) | 1344 | (54.0) |
Intertrochanteric or subtrochanteric | 72,825 | (47.9) | 29,193 | (47.8) | 34,057 | (47.8) | 8432 | (49.0) | 1143 | (46.0) |
Procedure type | ||||||||||
Fixation | 90,852 | (59.8) | 36,515 | (59.8) | 42,464 | (59.7) | 10,420 | (60.6) | 1453 | (58.4) |
Arthroplasty | 61,100 | (40.2) | 24,575 | (40.2) | 28,719 | (40.3) | 6772 | (39.4) | 1034 | (41.6) |
Treatment era | ||||||||||
2004–2006 | 50,627 | (33.3) | 20,148 | (33.0) | 23,670 | (33.3) | 5962 | (34.7) | 847 | (34.1) |
2007–2009 | 50,157 | (33.0) | 19,550 | (32.0) | 23,921 | (33.6) | 5760 | (33.5) | 926 | (37.2) |
2010–2012 | 51,168 | (33.7) | 21,392 | (35.0) | 23,592 | (33.1) | 5470 | (31.8) | 714 | (28.7) |
Province of surgery | ||||||||||
Alberta | 16,644 | (11.0) | 7440 | (12.2) | 7726 | (10.9) | 1363 | (7.9) | 115 | (4.6) |
British Columbia | 28,922 | (19.0) | 11,762 | (19.3) | 13,731 | (19.3) | 3086 | (18.0) | 343 | (13.8) |
Manitoba | 8439 | (5.6) | 2880 | (4.7) | 3996 | (5.6) | 1364 | (7.9) | 199 | (8.0) |
New Brunswick | 5285 | (3.5) | 1834 | (3.0) | 2454 | (3.4) | 789 | (4.6) | 208 | (8.4) |
Newfoundland and Labrador | 3435 | (2.3) | 1110 | (1.8) | 1746 | (2.5) | 479 | (2.8) | 100 | (4.0) |
Nova Scotia | 6556 | (4.3) | 2157 | (3.5) | 3325 | (4.7) | 899 | (5.2) | 175 | (7.0) |
Ontario | 73,629 | (48.5) | 30,310 | (49.6) | 33,742 | (47.4) | 8369 | (48.7) | 1208 | (48.6) |
Prince Edward Island | 1100 | (0.7) | 500 | (0.8) | 456 | (0.6) | 136 | (0.8) | 8 | (0.3) |
Saskatchewan | 7942 | (5.2) | 3097 | (5.1) | 4007 | (5.6) | 707 | (4.1) | 131 | (5.3) |