Characteristics of people aged 65 and over who were admitted to National Health Service hospitals in England with hip fracture before the pandemic (March 2019–February 2020) and during the COVID-19 pandemic (March 2020–February 2021), by patient residence
| Residence | Community | Residential care home | Nursing home | |||
| Admission year | 2019/2020 | 2020/2021 | 2019/2020 | 2020/2021 | 2019/2020 | 2020/2021 |
| n | 48 934 | 46 663 | 5689 | 5132 | 4105 | 3853 |
| Female (%) | 34 476 (70.5) | 32 571 (69.8) | 4457 (78.3) | 4041 (78.7) | 2913 (71.0) | 2783 (72.2) |
| Age (%) | ||||||
| 65–69 | 2998 (6.1) | 2645 (5.7) | 74 (1.3) | 61 (1.2) | 70 (1.7) | 81 (2.1) |
| 70–74 | 5392 (11.0) | 5019 (10.8) | 172 (3.0) | 171 (3.3) | 219 (5.3) | 189 (4.9) |
| 75–79 | 7420 (15.2) | 7224 (15.5) | 439 (7.7) | 433 (8.4) | 445 (10.8) | 399 (10.4) |
| 80–84 | 10 808 (22.1) | 10 156 (21.8) | 971 (17.1) | 896 (17.5) | 796 (19.4) | 751 (19.5) |
| 85–89 | 12 009 (24.5) | 11 350 (24.3) | 1614 (28.4) | 1415 (27.6) | 1158 (28.2) | 1011 (26.2) |
| 90–95 | 7736 (15.8) | 7654 (16.4) | 1588 (27.9) | 1402 (27.3) | 964 (23.5) | 976 (25.3) |
| 95+ | 2571 (5.3) | 2615 (5.6) | 831 (14.6) | 754 (14.7) | 453 (11.0) | 446 (11.6) |
| Mean age in years* | 83 (8) | 83 (8) | 88 (7) | 87 (7) | 86 (7) | 86 (7) |
| Charlson Comorbidity Index (%) | ||||||
| 0 | 27 894 (57.0) | 26 399 (56.6) | 1764 (31.0) | 1612 (31.4) | 1199 (29.2) | 1141 (29.6) |
| 1 | 6480 (13.2) | 6168 (13.2) | 312 (5.5) | 314 (6.1) | 194 (4.7) | 245 (6.4) |
| 2 | 6168 (12.6) | 5915 (12.7) | 1743 (30.6) | 1521 (29.6) | 1268 (30.9) | 1131 (29.4) |
| 3 | 3789 (7.7) | 3657 (7.8) | 931 (16.4) | 871 (17.0) | 681 (16.6) | 590 (15.3) |
| 4+ | 4603 (9.4) | 4524 (9.7) | 939 (16.5) | 814 (15.9) | 763 (18.6) | 746 (19.4) |
| Mean Charlson Comorbidity Index* | 1.11 (1.70) | 1.13 (1.72) | 1.98 (1.79) | 1.95 (1.76) | 2.11 (1.87) | 2.09 (1.89) |
| Metastatic cancer with solid tumour | 872 (1.8) | 841 (1.8) | 45 (0.8) | 39 (0.8) | 60 (1.5) | 70 (1.8) |
| Other malignant cancer | 2977 (6.1) | 2976 (6.4) | 272 (4.8) | 213 (4.2) | 265 (6.5) | 253 (6.6) |
| Chronic pulmonary disease | 8918 (18.2) | 8472 (18.2) | 895 (15.7) | 862 (16.8) | 717 (17.5) | 655 (17.0) |
| Congestive heart failure | 4976 (10.2) | 4820 (10.3) | 700 (12.3) | 591 (11.5) | 522 (12.7) | 500 (13.0) |
| Dementia | 4782 (9.8) | 4543 (9.7) | 3152 (55.4) | 2761 (53.8) | 2266 (55.2) | 2013 (52.2) |
| Diabetes with chronic complications | 1078 (2.2) | 1064 (2.3) | 86 (1.5) | 87 (1.7) | 77 (1.9) | 106 (2.8) |
| Hemiplegia or paraplegia | 792 (1.6) | 769 (1.6) | 98 (1.7) | 102 (2.0) | 98 (2.4) | 95 (2.5) |
| Moderate or severe liver disease | 264 (0.5) | 245 (0.5) | <10 (<0.2) | <10 (<0.2) | 15 (0.4) | 10 (0.3) |
| Mild liver disease | 863 (1.8) | 943 (2.0) | 93 (1.6) | 83 (1.6) | 79 (1.9) | 77 (2.0) |
| Rheumatological disease | 2407 (4.9) | 2335 (5.0) | 260 (4.6) | 220 (4.3) | 163 (4.0) | 165 (4.3) |
| Renal disease | 6765 (13.8) | 6747 (14.5) | 1 097 (19.3) | 1 057 (20.6) | 810 (19.7) | 796 (20.7) |
| Frailty | ||||||
| Number of conditions* | 0.71 (1.11) | 0.73 (1.13) | 1.72 (1.39) | 1.75 (1.43) | 1.85 (1.47) | 1.85 (1.48) |
| Anxiety or depression | 4771 (9.7) | 4631 (9.9) | 914 (16.1) | 889 (17.3) | 706 (17.2) | 670 (17.4) |
| Cognitive impairment | 9385 (19.2) | 9372 (20.1) | 3729 (65.5) | 3341 (65.1) | 2734 (66.6) | 2540 (65.9) |
| Dependence | 1726 (3.5) | 1508 (3.2) | 653 (11.5) | 601 (11.7) | 612 (14.9) | 580 (15.1) |
| Falls and fractures | 11 205 (22.9) | 10 916 (23.4) | 2541 (44.7) | 2297 (44.8) | 1901 (46.3) | 1772 (46.0) |
| Incontinence | 1724 (3.5) | 1732 (3.7) | 531 (9.3) | 558 (10.9) | 503 (12.3) | 496 (12.9) |
| Mobility problems | 4580 (9.4) | 4560 (9.8) | 1031 (18.1) | 951 (18.5) | 817 (19.9) | 794 (20.6) |
| Pressure ulcers | 1485 (3.0) | 1556 (3.3) | 360 (6.3) | 336 (6.5) | 321 (7.8) | 293 (7.6) |
| COVID-19 infection | ||||||
| Confirmed or suspected | 94 (0.2) | 4293 (9.2) | <10 (0.2) | 554 (10.8) | <10 (0.2) | 417 (10.8) |
| Procedure (%) | ||||||
| None | 3381 (6.9) | 3220 (6.9) | 421 (7.4) | 384 (7.5) | 332 (8.1) | 304 (7.9) |
| Osteosynthesis | 21 102 (43.1) | 19 818 (42.5) | 2488 (43.7) | 2297 (44.8) | 1833 (44.7) | 1744 (45.3) |
| Partial replacement | 19 776 (40.4) | 20 397 (43.7) | 2735 (48.1) | 2419 (47.1) | 1896 (46.2) | 1773 (46.0) |
| Total replacement | 4675 (9.6) | 3228 (6.9) | 45 (0.8) | 32 (0.6) | 44 (1.1) | 32 (0.8) |
| Length of stay in days† | 15 (18) | 13 (14) | 13 (13) | 11 (10) | 11 (9) | 10 (8) |
Patients admitted in 2019/2020 can have a record of COVID-19 if they were still in hospital in 2019/2020.
*Mean (SD).
†Median (IQR).