Surgical treatment and unadjusted outcomes by fracture type
| Treatment/outcome | Femoral neck; no. (%) of patients* | p value | Intertrochanteric; no. (%) of patients* | p value | ||
|---|---|---|---|---|---|---|
| Manitoba n = 1500 | New York n = 11 264 | Manitoba n = 1345 | New York n = 20 260 | |||
| Procedure | ||||||
| Total hip arthroplasty | 122 (8.1) | 928 (8.2) | 0.9 | 9 (0.7) | 141 (0.7) | 1.00 |
| Hemiarthroplasty | 895 (59.7) | 6154 (54.6) | < 0.001 | 12 (0.9) | 379 (1.9) | 0.01 |
| Internal fixation | 417 (27.8) | 3243 (28.8) | 0.4 | 1239 (92.1) | 18 605 (91.8) | 0.7 |
| Nonoperative | 66 (4.4) | 939 (8.3) | < 0.001 | 85 (6.3) | 1135 (5.6) | 0.3 |
| Hospital length of stay, median (IQR) | 13 (8–24) | 7 (5–12) | NA | 13 (8–27) | 7 (5–12) | NA |
| Hospital length of stay ≥ 30 d | 296 (19.7) | 360 (3.2) | < 0.001 | 318 (23.6) | 612 (3.0) | < 0.001 |
| Death within 7 d of admission | 20 (1.3) | 227 (2.0) | 0.07 | 28 (2.1) | 429 (2.1) | 1.00 |
| In-hospital death | 85 (5.7) | 392 (3.5) | < 0.001 | 96 (7.1) | 761 (3.8) | < 0.001 |
| Readmission within 30 d of discharge†‡ | 139 (9.8) | 1307 (12.0) | 0.02 | 117 (9.4) | 2273 (11.2) | 0.02 |
| Discharge to rehabilitation or long-term care†‡ | 755 (53.4) | 8648 (79.5) | < 0.001 | 768 (61.5) | 15 569 (79.8) | < 0.001 |
Note: IQR = interquartile range.
↵* Except where noted otherwise.
↵† Denominator for femoral neck fractures in Manitoba consisted of all patients who survived to discharge: 1415 for all patients, 1051 for patients who did not undergo transfer and 364 for patients who underwent transfer.
↵‡ Denominator for intertrochanteric fractures in Manitoba consisted of all patients who survived to discharge: 1249 for all patients, 988 for patients who did not undergo transfer and 261 for patients who underwent transfer.