Technical Note

Wait Time for Hip Fracture Surgery


Inclusion Criteria:

    1. Hip fracture ICD-10-CA codes of S72.0, S72.1, S72.2 as MRDx; or
    2. Where another diagnosis is coded as MRDx and also a type (2), and a diagnosis of hip fracture is coded as a diagnosis type (1), (W), (X), (Y); or
    3. Where convalescence or rehabilitation ICD-10-CA codes Z50.1, Z50.8, Z50.9, Z54.0, Z54.4, Z54.7, Z54.8, Z54.9 are coded as MRDx and hip fracture coded as diagnosis type (1), (W), (X), (Y) .
  1. Criteria 1 (a,b,c) along with a relevant CCI procedure code1
    1. 1.VA.74.^^ - Fixation, hip joint
    2. 1.VA 53.^^ - Implantation of internal device, hip joint
    3. 1.VC.74.^^ - Fixation, femur
    4. 1.SQ.53.^^ - Implantation of internal device, pelvis
  2. Age at admission 65 years and older
  3. Gender recorded as male or female
  4. Admission to an acute care institution
  5. Admission category recorded as emergent/urgent
  6. Canadian resident

Exclusion Criteria:

  1. Records with an invalid Health Card Number
  2. Records with an invalid date of birth
  3. Records with an invalid admission date or time
  4. Records with an invalid discharge date
  5. Records with an invalid procedure date or time
  6. Discharged as self sign-out
  7. Records where hip fracture is coded as post admission diagnosis (diagnosis type (2))
  8. Hip fracture cases with no hip fracture surgery within the same fiscal year
  9. Patients with hip fracture discharge within the last 2 weeks of the previous fiscal year.
  10. Admissions to hospital between March 16 and 31 (the admission date falls between March 16 and 31) are excluded to allow for sufficient follow-up. (In 2009/10 data, 99 percent of hip fracture patients who underwent hip fracture surgery had their procedure done within two weeks.)


The numerator is a subset of the denominator according to one of three available definitions and represents the number of patients who underwent hip fracture surgery within 48 hours or on the same/next day or the same/next/day after.

1 Code may be recorded in any position. Procedures with status attribute 'A' (abandoned after onset) or OOH indicator flag 'Y' (out-of-hospital intervention) are excluded.