Term: Hip Fracture

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Glossary Definition

Last Updated: 2010-10-05

Definition:

A break or rupture in the cortex of bone the femur bone (typically the top part where it connects to the pelvis). The most common types are: femoral neck fractures, intertrochanteric fractures and subtrochanteric fractures. See MedlinePlus® - Health Topics - Hip Injuries and Disorders for more information.

Hip fracture has been defined differently in MCHP studies. One method defines hip fracture using ICD-9-CM codes 820.0-820.3, 820.8-820.9. In more recent research (Doupe et al., 2006), hip fracture is identified as one of six diagnostic quality indicators (QIs). Events of hip fractures were counted using the ICD-9-CM codes 820 (fracture of the neck of the femur) and 821 (fracture of other and unspecified parts of the femur) in both the medical services/physician claims data and the hospital discharge abstracts data. These diagnostic codes were counted only if select tariff codes (0865, 0868, 0870, 0872, 0874, denoting a reduction of the hip or a prosthetic replacement) were also reported within a two-week period of the hip fracture diagnostic claim.

Related concepts 

• Fractures: Case Definitions Using Administrative Data

Related terms 

• Diagnostic Quality Indicators (QIs)
• Hip Fracture Hospitalization Rate
• Hip Fracture Repair
• Hip Replacement Surgery
• ICD-9-CM
• International Classification of Diseases, 9th Revision, with Clinical Modifications (ICD-9-CM)
• Non-Hip Fractures
• Osteoporosis Prevalence
• Tariff Codes

References 

• Doupe M, Brownell M, Kozyrskyj A, Dik N, Burchill C, Dahl M, Chateau D, De Coster C, Hinds A, Bodnarchuk J. Using Administrative Data to Develop Indicators of Quality Care in Personal Care Homes. Winnipeg, MB: Manitoba Centre for Health Policy, 2006. [Report] [Summary] [Additional Materials] (View)

Term used in 

• Brownell M, Roos NP, Burchill C. Monitoring the Winnipeg Hospital System: 1990/91 Through 1996/97. Winnipeg, MB: Manitoba Centre for Health Policy and Evaluation, 1999. [Report] [Summary] (View)
• Fransoo R, Martens P, The Need to Know Team, Burland E, Prior H, Burchill C, Chateau D, Walld R. Sex Differences in Health Status, Health Care Use, and Quality of Care: A Population-Based Analysis for Manitoba's Regional Health Authorities. Winnipeg, MB: Manitoba Centre for Health Policy, 2005. [Report] [Summary] [Additional Materials] (View)
• Leslie WD, Metge C. Establishing a regional bone density program: Lessons from the Manitoba experience. J Clin Densitom 2003;6(3):275-282. [Abstract] (View)