Hip fracture incidence and mortality in New England

Epidemiology. 1991 Mar;2(2):116-22. doi: 10.1097/00001648-199103000-00005.


We used Medicare data to conduct a population-based study of osteoporotic hip fracture incidence and outcomes among New England residents. To reduce bias and improve data reliability, we combined data from multiple files; we found that 6% of cases would have been missed had we relied on hospital claims alone. Hip fracture incidence (per 1,000 person-years) increased for white females from 2.2 for ages 65-69 to 31.8 for ages 90-94 and for white males from 0.9 for ages 65-69 to 20.8 for ages 90-94. Incidence among blacks was lower in all age/sex groups. The female/male relative risk was greater among whites than among blacks. Case fatality following hip fracture was 12.5% at 90 days and 23.7% at 1 year and was higher among males, older patients, and those who had documented comorbidity or who were residents of nursing homes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Comorbidity
  • Continental Population Groups
  • Databases, Factual / statistics & numerical data
  • Hip Fractures / epidemiology*
  • Hip Fractures / etiology
  • Hip Fractures / mortality
  • Humans
  • Incidence
  • Insurance Claim Reporting / statistics & numerical data
  • Medicare
  • New England / epidemiology
  • Nursing Homes / statistics & numerical data
  • Osteoporosis / complications*
  • Risk Factors
  • Sex Factors
  • Survival Rate
  • United States