Abstract
From 1959 to 1977 the numbers of hospital admissions for fracture of the neck of the femur increased by a factor of 2.7. Detailed analysis of data from the Hospital In-Patient Enquiry for 1968-77 showed that the increase applied to both sexes and at all ages over 45. The true incidence rate increased in parallel with the admission rate, and only a small part of the increased number of admissions was explained by the increasing numbers of the elderly. The increasing incidence of fracture of the neck of the femur imposes great strain on hospital resources, particularly trauma and orthopaedic departments, and merits urgent investigation. An explanation for the increase might be that the experience of one demand-led condition characterises a greater need for health care among the elderly for other conditions.
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- Baker M. R. An investigation into secular trends in the incidence of femoral neck fracture using hospital activity analysis. Public Health. 1980 Nov;94(6):368–374. doi: 10.1016/s0033-3506(80)80140-5. [DOI] [PubMed] [Google Scholar]
- Brocklehurst J. C., Exton-Smith A. N., Lempert Barber S. M., Hunt L. P., Palmer M. K. Fracture of the femur in old age: A two-centre study of associated clinical factors and the cause of the fall. Age Ageing. 1978 Feb;7(1):2–15. doi: 10.1093/ageing/7.1.7. [DOI] [PubMed] [Google Scholar]
- Evans J. G. Fractured proximal femur in Newcastle upon Tyne. Age Ageing. 1979 Feb;8(1):16–24. doi: 10.1093/ageing/8.1.16. [DOI] [PubMed] [Google Scholar]
- Evans J. G., Prudham D., Wandless I. A prospective study of fractured proximal femur: incidence and outcome. Public Health. 1979 Jul;93(4):235–241. doi: 10.1016/s0033-3506(79)80036-0. [DOI] [PubMed] [Google Scholar]
- Wild D., Nayak U. S., Isaacs B. How dangerous are falls in old people at home? Br Med J (Clin Res Ed) 1981 Jan 24;282(6260):266–268. doi: 10.1136/bmj.282.6260.266. [DOI] [PMC free article] [PubMed] [Google Scholar]