Factors associated with hip fracture following a fall-associated hospitalization in older adults: a retrospective cohort study
Study context
- Population
- All Ontario adults aged 65+ hospitalized after a fall, November 1, 2015 to October 31, 2020discharged after fall-related hospitalization
- Participants
- 88,140 adults
- Exposure
- Individuals who did vs did not experience a hip fracture within 2 years of discharge, by socio-demographics, frailty, comorbidities, DXA scan receipt and family physician or geriatrician visits
- Outcome
- Hip fracture within 2 years of discharge following a fall-related hospitalization
- Follow-up
- 2 years
Methodological detailspopulation-based (administrative health databases, Ontario), Cox proportional hazard regression, death as competing risk
- Population-based (administrative health databases, Ontario)
- Cox proportional hazard regression
- Death as competing risk
Main finding
As reported in the abstract
Hip fracture within 2 years of discharge; factors associated
Hazard ratio (95% CI)
Older age (per year)
1.04(1.04–1.05)
Female sex
1.16(1.08–1.24)
Parkinsonism
1.42(1.19–1.70)
Dementia
1.28(1.17–1.41)
Mental health disorders
1.10(1.01–1.20)
Intermediate frailty risk by HFRS score
6.68(3.28–13.7)
Post-discharge DXA scanningonly 15% of the study population underwent DXA
0.75(0.66–0.86)
Per year, as printed
- Suffered a hip fracture within 2 years
- 4.6%
Observational data: associations, not effects.
Original publication
Factors associated with hip fracture following a fall-associated hospitalization in older adults: a retrospective cohort study. Osteoporos Int. Published 8 August 2026. doi:10.
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