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Important Facts for Hip Fracture Hospitalization Rate among Older Adults

Definition

The annual hospitalization rate as a result of fractures to the hip among older adults ages 65 years and older per 100,000 population.

Numerator

Number of hospitalizations due to hip fractures among persons ages 65 and older per year

Denominator

Number of persons ages 65 and older in the population

Why Is This Important?

Hip fractures are considered to be one important proxy measure for the presence of osteoporosis, as well as a major consequence of this condition. Hospitalization rates from this cause are monitored in the absence of surveillance sources for osteoporosis.

Healthy People Objective: Reduce hip fractures among older adults

U.S. Target: Females: 741.2 hospitalizations per 100,000 population (age-adjusted); Males: 418.4 hospitalizations per 100,000 population (age-adjusted)
State Target: Females: 601.2 hospitalizations per 100,000 population (age-specific); Males: 310.5 hospitalizations per 100,000 population (age-specific)

Other Objectives

'''Revised Healthy New Jersey 2020 Objective OA-1a''': Reduce the rate (per 100,000 female population) of hip fractures among older women aged 65 years and older to 601.2 among all females, 787.8 among Whites, 217.7 among Blacks, 263.7 among Hispanics, and 195.3 among Asians. '''Revised Healthy New Jersey 2020 Objective OA-1b''': Reduce the rate (per 100,000 male population) of hip fractures among older men aged 65 years and older to 310.5 among all males, 360.9 among Whites, 141.3 among Blacks, 130.5 among Hispanics, and 95.4 among Asians. '''Original Healthy New Jersey 2020 Objective OA-1''': Reduce the rate (per 100,000 population) of hip fractures among older adults aged 65 years and older to 681.7 among females and 351.1 among males.

How Are We Doing?

All original HNJ2020 targets were met by 2019. The revised HNJ2020 targets for females were also achieved before the end of the decade. The revised target for Asian males was met in 2018 and the targets for White males, Hispanic males, and males of all races/ethnicities combined were met in 2020 but that may be due in part to the overall hospital discharge volume decline in 2020 due mostly to the COVID-19 pandemic.

What Is Being Done?

Each September, the New Jersey Department of Human Services' (NJDHS) Division of Aging Services and a statewide Fall Prevention Coalition coordinate [http://www.state.nj.us/humanservices/doas/services/fallprev/ Fall Prevention Week] to promote awareness of the impact of falls and strategies for reducing risk. Efforts are also in place to provide people at risk for falls with opportunities to learn about prevention and practice healthy behaviors. In collaboration with community partners, the NJDHS Division of Aging Services is building statewide capacity for local delivery of evidence-based fall prevention programs such as A Matter of Balance and Project Healthy Bones. In addition, a one-hour curriculum on fall prevention is available for health educators to use for community education (training required).

Health Program Information

The NJDHS Division of Aging Services' [http://www.state.nj.us/humanservices/doas/services/healthease/ HealthEASE] program includes program coordination, as well as physical activity, health education, and coordinated screening components designed specifically for adults over the age of sixty. Components and related programs include group exercise, fall prevention education, management of concerns about falling, and bone density testing.
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 04 July 2022 2:22:58 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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