Skip to main content

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)
  1. aThe expected length of time for all hospitalized patients with hip fracture present on day of index patient admission to undergo surgery when hospital operates at maximum weekly service rate for the corresponding fiscal quarter. Benchmark demand (within 2-days), medium demand (within 4 days), high demand (within 6 days), and excessive demand (7 or more days)
  2. bFor 17 patients, sex was unknown
  3. cComorbidities included heart failure, chronic obstructive pulmonary disorder, ischemic heart disease (acute and chronic), dysrhythmias, hypertension, diabetes, and cancer (breast–female, prostate, renal, lung, multiple myeloma, and metastatic cancer) identified by diagnostic codes from all hospitalizations in 1 year prior to index admission, and cancer and Paget’s disease, identified by diagnostic codes from all hospitalizations during the hip fracture care episode
  4. dAt least one of the following NICE-124 conditions: anaemia, anticoagulation reversal, volume depletion, electrolyte imbalance, uncontrolled diabetes, uncontrolled heart failure, correctable cardiac arrhythmia, correctable cardiac ischaemia, acute chest infection, and exacerbation of chronic chest condition; or preoperative admission to specialist care unit
  5. eFor 1566 patients, hospital type was unavailable