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Centre for Policy on Ageing | |
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Hip fracture incidence and mortality in an English region
— a study using routine National Health Service data | | Author(s) | Alastair McColl, Paul Roderick, Cyrus Cooper |
| Journal title | Journal of Public Health Medicine, vol 20, no 2, June 1998 |
| Pages | pp 196-205 |
| Keywords | Fractures ; Admission [hospitals] ; Death ; Discharge [hospitals] ; Social surveys ; Dorset ; Hampshire ; Wiltshire. |
| Annotation | The validity of routine hospital and mortality hip fracture data in Wessex Region was investigated, estimating trends in hip fracture, relating to individual patients aged over 65, for 1978-1981 and 1993-1995. Data for 1993-95 was identified from Hospital Episode System (HES), and compared with regional hospital admission rates for 1978-81 from a previous study. National comparative indicators for hip fracture overestimated individual admissions in Wessex by 17% (in health authorities by 1-56%). National comparative indicators for hip fracture mortality underestimated individual deaths in Wessex by 48%. Between 1978-81 and 1993-95, the age-sex standardised hip fracture rate rose from 1.90 to 2.63 per 1000 per year for men, and from 5.70 to 7.70 per 1000 for women. Rates increased in all age groups except for those aged 65-69. There was also a small decrease in absolute mean annual numbers in this age group. The rates also fell for females aged 70-74. It is possible to adjust routine HES data to account for multiple episodes within a single admission. These methods should be applied to national comparative indicators for hip fracture admission and deaths. Hip fracture rates continued to rise in those aged over 70. (RH). |
| Accession Number | CPA-980813006 A |
| Classmark | CUF: LD:QKH: CW: LD:QKJ: 3F: 8DO: 8H: 8WI |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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