In-hospital mortality after hip fracture by treatment setting

  • K. J. Sheehan, B. Sobolev, P. Guy, L. Kuramoto, S. N. Morin, J. M. Sutherland, L. Beaupre, D. Griesdale, M. Dunbar, E. Bohm, E. Harvey
  • Canadian Medical Association Journal, October 2016, Canadian Medical Association (CMA)
  • DOI: 10.1503/cmaj.160522

#HipFracture surgery is safer in large hospitals

What is it about?

Where treatment takes place determines life expectancy after hip fracture. People with broken hips are more likely to live longer if they are treated in a teaching hospital than small and medium-size community hospitals.

Why is it important?

Breaking a hip means high risk of death, immobility and dependence for 30,000 Canadians each year. In fact, hip fractures occur as frequently as common cancers, but with severely worse outcomes. Even after treatment, 30% die within a year, 25% never walk again and 22% never live independently.


Professor Boris Sobolev
University of British Columbia

Where, Who and When of hip fracture care contribute to the mortality gap between the injured and the general population, in addition to What and Why. What treatment and why it was provided have been studied extensively to understand variation in practice and outcomes of hip fracture care. I believe closing the mortality gap necessitates studying where treatment was received, who provided it, and how soon after the need was identified.

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The following have contributed to this page: Professor Boris Sobolev and Dr edward J Harvey