Changes in frailty-related characteristics of the hip fracture population and their implications for healthcare services: evidence from Quebec, Canada

Summary This study provides evidence that a number of frailty-related characteristics (older age, de novo admission to long-term care (LTC), comorbidities [Charlson Index, osteoporosis, osteoporosis risk factors, sarcopenia risk factors, and dementia]) have increased in the hip fracture population f...

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Bibliographic Details
Published in:Osteoporosis international 2013-10, Vol.24 (10), p.2713-2724
Main Authors: Auais, M., Morin, S., Nadeau, L., Finch, L., Mayo, N.
Format: Article
Language:English
Subjects:
Age Distribution
Aged
Aged, 80 and over
Comorbidity
Databases, Factual
Delivery of Health Care - trends
Endocrinology
Evidence-Based Medicine - methods
Female
Fractures
Frail Elderly - statistics & numerical data
Frailty
Health services
Hip Fractures - epidemiology
Hip joint
Hospitalization - statistics & numerical data
Humans
Incidence
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Original Article
Orthopedics
Osteoporosis - epidemiology
Osteoporotic Fractures - epidemiology
Patient Discharge - statistics & numerical data
Quebec - epidemiology
Residence Characteristics - statistics & numerical data
Rheumatology
Risk Factors
Sarcopenia - epidemiology
Sex Distribution
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Summary:Summary This study provides evidence that a number of frailty-related characteristics (older age, de novo admission to long-term care (LTC), comorbidities [Charlson Index, osteoporosis, osteoporosis risk factors, sarcopenia risk factors, and dementia]) have increased in the hip fracture population from 2001–2008. This will have significant impact on community resources, as the number of people discharged to the community is also increasing. Introduction The aim of this study is to estimate secular changes in the prevalence of selected frailty-related characteristics among the hip fracture population in the Canadian province of Quebec (2001–2008) and the potential impact of these changes on healthcare services. Methods The Quebec hospitalization database was used to identify nontraumatic hip fractures for the purposes of calculating age- and sex-specific rates. Also estimated were time trends for selected frailty-related characteristics and discharge destinations. Results A significant decline in fracture rates was evident for all age groups except for those
ISSN:0937-941X
1433-2965
DOI:10.1007/s00198-013-2390-x