Jaglal S B, Sherry P G, Schatzker J
M.F. Muller Foundation-Fracture Documentation and Evaluation Unit, Sunnybrook Health Science Centre, Toronto ON.
Can J Surg. 1996 Apr;39(2):105-11.
To assess the magnitude and the burden of hip fracture on the health care system, including time trends in hip fracture rates, in-hospital death rates, length of hospital stay (LHS) and discharge destination.
A retrospective study of discharge abstracts.
The Province of Ontario.
All patients (n = 93,660) over the age of 50 years and with a diagnosis of hip fracture discharged from hospital between 1981 and 1992 (excluding transfers).
Age-sex standardized hip fracture rates per 1000 population, in-hospital death rates and age-adjusted mean LHS.
The overall hip fracture rate was 3.3 per 1000 persons (1.7 per 1000 men and 4.6 per 1000 women). There was no change in rates between 1981 and 1992 (p = 0.089), but there have been increases in the numbers of hip fractures. There was no change in the in-hospital death rate over time (p = 0.78). The age-adjusted mean LHS in 1981 was 28.6 days compared with 22.2 days in 1992. The numbers of hip fractures will increase from 8490 in 1990 to 16 963 in 2010.
Despite stable age-adjusted rates of hip fractures, the doubling of the number of hip fractures by the year 2010 due to an aging population will become an increasing burden on the health care system.
评估髋部骨折对医疗保健系统造成的影响程度和负担，包括髋部骨折发生率、住院死亡率、住院时间（LHS）和出院去向的时间趋势。
对出院摘要进行回顾性研究。
安大略省。
1981年至1992年期间（不包括转院患者）从医院出院的所有50岁以上且诊断为髋部骨折的患者（n = 93,660）。
每1000人口的年龄性别标准化髋部骨折发生率、住院死亡率和年龄调整后的平均住院时间。
总体髋部骨折发生率为每1000人3.3例（男性每1000人1.7例，女性每1000人4.6例）。1981年至1992年期间发生率无变化（p = 0.089），但髋部骨折的数量有所增加。住院死亡率随时间无变化（p = 0.78）。1981年年龄调整后的平均住院时间为28.6天，1992年为22.2天。髋部骨折的数量将从1990年的8490例增加到2010年的16963例。
尽管年龄调整后的髋部骨折发生率保持稳定，但由于人口老龄化，到2010年髋部骨折数量翻倍将给医疗保健系统带来日益沉重的负担。
