Objective To describe the epidemiological characteristics of the hip fracture of the in-patients, and to provide a scientific basis for the prevention and treatment of the hip fracture. Methods This study involved 5563 patients aging over 50 with hip fractures, who were admitted to the Tianjin Hospital from January 2005 to December 2010, including 2144 males and 3419 females. The demographic data, the time and causes of injury, fracture types, treatment, and in-patient expenditures were collected and reviewed retrospectively. A SPSS 11.0 software was used for statistical analysis. Results Most patients with hip fractures were over 60 years old, accounting for 83.74% of all the patients. And the female patients were significantly more than male patients. From 2005 to 2010, the proportions of the hip fracture in each year varied from 12.06% to 21.12%, with the lowest incidence in 2005 and the highest incidence in 2009. In patients aging from 50 to 79 years old, the incidence of the femoral neck fracture was higher than that of the intertrochanteric fracture, while in patients aging over 90 years old, the incidence of the intertrochanteric fracture was higher than that of the femoral neck fracture. Fall was the leading cause (77.98%) of the hip fracture. The highest incidence of the hip fracture occurred in winter, while the lowest incidence was observed in spring. October was the epidemic peak period, while July was the lowest. Surgery was the predominant management for the hip fracture, accounting for 56.97%. The direct cost of acute treatment of the fragile hip fracture increased year by year. Conclusion The hip fracture is more common among patients aging over 60 years, especially in female patients. And the in-patient expenditure of the hip fracture has grown year by year. |