Table 1.
Clinical and demographic characteristics of hospitalized patients with S72.
| Characteristics | 2019 | 2020 | p | |
|---|---|---|---|---|
| Age | 58.8±24.92 | 57.32±25.2 | ||
| Number of bed days | 10.8±4.7 | 7.1±3.8 | 0.001* | |
| Sex | ||||
| male | 4185(44.0) | 4796(44.3) | ||
| female | 5329(56.0) | 6041(55.7) | ||
| Residence | ||||
| city | 5682(59.7) | 6944(64.1) | 0.05 | |
| village | 3832(40.3) | 3893(35.9) | 0.05 | |
| Number of beds | ||||
| less 300 | 5565(58.5) | 7087(65.4) | 0.001 | |
| 300 to 500 | 3248(34.1) | 3379(31.2) | ||
| more 500 | 701(7.4) | 371(3.4) | 0.001 | |
| Time of admittance | ||||
| January | 1004(10.6) | 978(9.0) | ||
| February | 818(8.6) | 1046(9.7) | ||
| March | 799(8.4) | 935(8.6) | ||
| April | 783(8.2) | 648(6.0) | 0.05 | |
| May | 825(8.7) | 891(8.2) | ||
| June | 767(8.1) | 841(7.8) | ||
| July | 754(7.9) | 688(6.3) | 0.05 | |
| August | 783(8.2) | 857(7.9) | ||
| September | 802(8.4) | 920(8.5) | ||
| October | 735(7.7) | 942(8.7) | 0.05 | |
| November | 770(8.1) | 906(8.4) | ||
| December | 674(6.8) | 1185(10.9) | 0.001 | |
| Type of hospitalization | ||||
| Planned | 408(4.3) | 2344(21.6) | 0.001 | |
| Emergency | 9106(95.7) | 8493(78.4) | 0.05 | |
| Who is directed to hospitalization | ||||
| Emergency team | 4538(47.7) | 4142(38.3) | 0.05 | |
| Out-patient clinic | 600(6.3) | 751(6.9) | ||
| Other hospital | 801(8.4) | 937(8.6) | ||
| Self-admittance | 1800(18.9) | 2540 (23.5) | ||
| PCP | 1453(15.3) | 2466(22.7) | ||
| pMaternity Unit | 322(3.4) | 1(0.01) | 0.001 | |
| Outcome | ||||
| improvement | 8632(90.7) | 9903(91.4) | ||
| convalescence | 359(3.8) | 319(2.9) | ||
| no changes | 395(4.2) | 485(4.5) | ||
| death | 124(1.3) | 119(1.1) | ||
| deterioration | 4(0.04) | 11(0.1) | ||
| Treatment types | ||||
| No operation (standard) | 2530(26.6) | 3848(35.6) | ||
| Innner fixation | 5202(54.7) | 3706(34.2) | ||
| Total arthroplasty | 1091(11.5) | 1474(13.6) | ||
| hemiarthroplasty | 418(4.4) | 819(7.5) | 0.05 | |
| Others | 273(2.9) | 990(9.1) | 0.05 | |
| Total | 9514(46.7) | 10837(53.3) | ||
Table 2.
The frequency of registration of various forms of S72 according to ICD-10 in patients standardized by age in the context of 2019–2020 in the territory of the Republic of Kazakhstan.
| Diagnosis according to ICD-10 | Age according to the WHO classification | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 0–17 | 18–44 | 45–59 | |||||||
| 2019 | 2020 | p | 2019 | 2020 | p | 2019 | 2020 | p | |
| 72.0 Fracture of the femoral neck | 68 (5.9) | 69(4.9) | 0.245 | 190(18.2) | 221(16.9) | 0.475 | 479(34.4) | 632(38.4) | 0.548 |
| 72.1 Transtrochanteric fracture | 8 (0.7) | 18(1.3) | 0.452 | 129(12.4) | 189(14.4) | 0.221 | 422(30.3) | 404(24.6) | 0.079 |
| 72.2 Subtrochanteric fracture | 61(5.3) | 105(7.5) | 0.324 | 104(10.0) | 131(10.0) | 0.854 | 106(7.6) | 130(7.9) | 0.354 |
| 72.3 Fracture of the body of the femur | 816 (71.0) | 973(69.6) | 0.108 | 384(36.8) | 495(37.8) | 0.763 | 160(11.5) | 200(12.2) | 0.124 |
| 72.4 Fracture of the lower end of the femur | 153 (13.3) | 182(13.0) | 0.789 | 148(14.2) | 168(12.8) | 0.367 | 176(12.7) | 214(13.0) | 0.842 |
| 72.7 Multiple fractures of the femur | 13 (1.1) | 11(0.8) | 0.452 | 53(5.1) | 51(3.9) | 0.471 | 19(1.4) | 20(1.2) | 0.541 |
| 72.8 Fractures of other parts of the femur | 31 (2.7) | 34(2.4) | 0.951 | 33(3.2) | 53(4.0) | 0.168 | 27(1.9) | 39(2.4) | 0.681 |
| 72.9 Fracture of part of femur, unspecified | 0 (0) | 5 (0.4) | 0.001* | 2(0.2) | 2(0.2) | 0.978 | 2(0.1) | 5(0.3) | 0.251 |
| Total | 1150 | 1397 | 0.547 | 1043 | 1310 | 1391 | 1644 | ||
| Diagnosis according to ICD-10 | Age according to the WHO classification | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 60–74 | 75–90 | 90 and more | |||||||
| 2019 | 2020 | p | 2019 | 2020 | p | 2019 | 2020 | p | |
| 72.0 Fracture of the femoral neck | 1141(40.0) | 1403(41.3) | 0.121 | 1145(39.9) | 1193(41.2) | 0.321 | 75(35.5) | 58(30.7) | 0.041* |
| 72.1 Transtrochanteric fracture | 988(34.7) | 1231(36.2) | 0.781 | 1343(46.8) | 1289(44.5) | 0.135 | 95(45.0) | 112(59.3) | 0.012* |
| 72.2 Subtrochanteric fracture | 185(6.5) | 194(5.7) | 0.982 | 133(4.6) | 138(4.8) | 0.148 | 13(6.2) | 5(2.6) | 0.2978 |
| 72.3 Fracture of the body of the femur | 221(7.8) | 229(6.7) | 0.457 | 123(4.3) | 110(3.8) | 0.625 | 13(6.2) | 6(3.2) | 0.752 |
| 72.4 Fracture of the lower end of the femur | 269(9.4) | 282(8.3) | 0.247 | 106(3.7) | 126(4.3) | 0.425 | 11(5.2) | 8(4.2) | 0.097 |
| 72.7 Multiple fractures of the femur | 18(0.6) | 16(0.5) | 0.657 | 9(0.3) | 11(0.4) | 0.177 | 0(0) | 0(0) | -- |
| 72.8 Fractures of other parts of the femur | 25(0.9) | 40(1.2) | 0.197 | 11(0.4) | 25(0.9) | 0.684 | 4(1.9) | 0(0) | - |
| 72.9 Fracture of part of femur, unspecified | 2(0.1) | 3(0.1) | 0.541 | 0(0) | 7(0.2) | 0.001* | 0(0) | 0(0) | - |
| Total | 2849 | 3398 | 2870 | 2899 | 211 | 189 | |||
Figure 1.
Age and sex characteristics of hospitalized patients with S72 for 2019, 2020.
Figure 2.
Territorial characteristics of cases of registration of S72 in the Republic of Kazakhstan for 2019–2020.