Incidence of hip fracture in the Republic of Ireland and future projections: a population-based study.

SUMMARY

There are no previously published data for hip fracture incidence rates in the Republic of Ireland. The rates of fracture for the total population aged 50 years and over were 407 and 140 per 100,000 for females and males, respectively. Assuming a stable incidence rate, the absolute number of hip fractures occurring on an annual basis is expected to increase by 100% by the year 2026. Health care providers should accommodate these increases into future strategies.

INTRODUCTION

Hip fractures are an important cause of morbidity in the elderly and represent an increasing burden on health service providers. Significant regional and international variation in incidence rates of hip fracture exists. In order for health service providers to be able to commit adequate resources to the care of hip fracture patients, accurate estimates of hip fracture numbers are required now and for the future. To date, there have been no reported incidence rates for hip fracture in the Republic of Ireland.

METHODS

We performed a search of the national hospital in-patient enquiry database for all hip fractures occurring in the Republic of Ireland between 2000 and 2004. Population data was obtained from the 2002 national census data. Population projections were made for the years 2016 and 2026 to allow determination of expected hip fracture numbers for those years.

RESULTS

The rates of hip fracture in the Irish population aged 50 years and over were 407 and 140 per 100,000 for females and males, respectively. Annual hip fracture numbers are expected to increase by 100% by the year 2026, assuming a stable incidence rate.

CONCLUSION

Health service providers should take into account the expected increase in hip fracture numbers when allocating resources for the care of these patients in the mid-term future.