Hip Fracture Hospitalizations among Older Adults by Year, Females, New Jersey, 2009 to 2020
Indicator Report Data View Options
Why Is This Important?
Hip fractures are considered to be one important proxy measure for the presence of osteoporosis, as well as a major consequence of this condition. Hospitalization rates from this cause are monitored in the absence of surveillance sources for osteoporosis.
Definition
The annual hospitalization rate as a result of fractures to the hip among older adults ages 65 years and older per 100,000 population.
Data Notes
This is Healthy New Jersey 2020 (HNJ2020) Objective OA-1a.Data Sources
- Hospital Discharge Data Collection System (NJDDCS), Health Care Quality and Assessment, New Jersey Department of Health
(https://nj.gov/health/healthcarequality/health-care-professionals/njddcs/) - Population Estimates, State Data Center, New Jersey Department of Labor and Workforce Development
(https://www.nj.gov/labor/labormarketinformation/demographics/population-household-estimates/)
How the Measure is Calculated
Numerator:
Number of hospitalizations due to hip fractures among persons ages 65 and older per yearDenominator:
Number of persons ages 65 and older in the population
Data Issues
'''Missing data in 2022:''' Three hospitals in Camden and Gloucester Counties submitted their fourth quarter data after the file closure deadline so their data are missing from the 2022 inpatient and emergency department datasets. '''Overall Discharge Volume in 2020: ''' Hospital claim volume for the 2020 calendar year was markedly lower (19.9%) than for 2019, mostly due to the COVID-19 pandemic. This reduction was seen in both inpatient discharges (8.2% lower claim volume than 2019) and emergency department visits (27.3% lower claim volume than 2019). This was likely the result of hospital care being redirected to address the care for COVID-19 patients while elective surgeries and other outpatient care services were being postponed. '''Caveats specific to 2017 data:''' NJDOH changed its vendor for hospitalization data collection in 2017 resulting in data loss at some facilities during the transition period. Additionally, The old vendor experienced a global malware incident in June 2017 that possibly resulted in the loss of some data in the system queue at that time. '''ICD Coding between 2015 and 2016: ''' The nationwide switch from ICD-9-CM to ICD-10-CM hospital diagnosis coding on October 1, 2015 disrupted trends for some diseases and conditions. Interpret trend data in this report with caution. Also note that New Jersey's data for October through December, 2015 was recoded to ICD-9-CM so that entire year of data was coded the same way.Related Health Objectives and Indicators
Health Initiative: HP2030
Healthy People 2030 Objective O-02
U.S. Target: Reduce hip fracture hospitalizations among older adults aged 65 years and over to 4.6 per 1,000 population (age-adjusted) by 2030
https://health.gov/healthypeople/objectives-and-data/browse-objectives/osteoporosis
Health Initiative: HP2020
Healthy People 2020 Objective AOCBC-11.1
U.S. Target: Reduce hip fractures among females aged 65 years and older to 741.2 hospitalizations per 100,000 population (age-adjusted) by 2020
https://www.healthypeople.gov/2020/topics-objectives/topic/Arthritis-Osteoporosis-and-Chronic-Back-ConditionsHealthy People 2020 Objective AOCBC-11.2
U.S. Target: Reduce hip fractures among males aged 65 years and older to 418.4 hospitalizations per 100,000 population (age-adjusted) by 2020
https://www.healthypeople.gov/2020/topics-objectives/topic/Arthritis-Osteoporosis-and-Chronic-Back-Conditions
Health Initiative: HNJ2020
Healthy NJ 2020 Objective OA-1a
NJ Target: Reduce hip fractures among women age 65 years and older to 601.2 per 100,000 population for the total population, 195.3 for Asians, 217.7 for Blacks, 263.7 for Hispanics, and 787.8 for Whites by 2020
https://www.nj.gov/health/chs/hnj2020/topics/older-adults.shtmlHealthy NJ 2020 Objective OA-1b
NJ Target: Reduce hip fractures among men age 65 years and older to 310.5 per 100,000 population for the total population, 95.4 for Asians, 197.5 for Blacks, 130.5 for Hispanics, and 360.9 for Whites by 2020
https://www.nj.gov/health/chs/hnj2020/topics/older-adults.shtml