|  | Total | General anaesthetic | Spinal anaesthetic | Standardised mean difference | |||
---|---|---|---|---|---|---|---|---|
 |  | Number | % | Number | % | Number | % |  |
Total | Â | 124,960 | 100 | 68,851 | 55 | 56,109 | 45 | Â |
Year | 2018 | 61,869 | 50 | 33,603 | 49 | 28,266 | 50 | − 0.029 |
2019 | 63,091 | 50 | 35,248 | 51 | 27,843 | 50 | ||
Age (continuous)a |  | Mean=82.7 SD=8.6 | Mean=82.7 SD=8.7 | Mean=82.6 SD=8.6 | − 0.012 | |||
Age groups | 60–69 years | 10,937 | 9 | 6161 | 9 | 4776 | 9 |  |
70–79 years | 29,250 | 23 | 15,733 | 23 | 13,517 | 24 |  | |
80–89 years | 56,469 | 45 | 31,299 | 45 | 25,170 | 45 |  | |
90+ years | 28,304 | 23 | 15,658 | 23 | 12,646 | 23 | Â | |
Sex | Female | 88,436 | 71 | 48,807 | 71 | 39,629 | 71 | 0.007 |
Male | 36,524 | 29 | 20,044 | 29 | 16,480 | 29 | ||
Fracture type | Intracapsular | 72,704 | 58 | 38,562 | 56 | 34,142 | 61 | − 0.098 |
Extracapsular, including other | 52,137 | 42 | 30,196 | 44 | 21,941 | 39 | ||
Missing | 119 | <1 | 93 | <1 | 26 | <1 | ||
Pathology | No malignancy | 119,033 | 95 | 65,473 | 95 | 53,560 | 95 | − 0.006 |
Malignancy present | 1478 | 1 | 833 | 1 | 645 | 1 | ||
Missing | 4449 | 4 | 2545 | 4 | 1904 | 3 | ||
Region | East Midlands | 8808 | 7 | 4241 | 6 | 4567 | 8 | 0.035 |
East of England | 13,887 | 11 | 8777 | 13 | 5110 | 9 | ||
London | 10,926 | 9 | 6379 | 9 | 4547 | 8 | ||
North East | 6887 | 6 | 3403 | 5 | 3484 | 6 | ||
North West | 15,897 | 13 | 9045 | 13 | 6852 | 12 | ||
Northern Ireland | 4009 | 3 | 1322 | 2 | 2687 | 5 | ||
South Central | 8101 | 6 | 4885 | 7 | 3216 | 6 | ||
South East | 10,812 | 9 | 4588 | 7 | 6224 | 11 | ||
South West | 14,058 | 11 | 8,683 | 13 | 5,375 | 10 | ||
Wales | 7691 | 6 | 4657 | 7 | 3,034 | 5 | ||
West Midlands | 12,076 | 10 | 7603 | 11 | 4,473 | 8 | ||
Yorkshire and the Humber | 11,808 | 9 | 5268 | 8 | 6540 | 12 | ||
Admission source | Own home/sheltered housing | 102,292 | 82 | 54,868 | 80 | 47,424 | 85 | − 0.031 |
Nursing care | 8994 | 7 | 5457 | 8 | 3537 | 6 | ||
Residential care | 13,611 | 11 | 8488 | 12 | 5123 | 9 | ||
Missing | 63 | <1 | 38 | <1 | 25 | <1 | ||
ASA physical status | ASA 1 or 2 | 28,940 | 23 | 14,961 | 22 | 13,979 | 25 | − 0.093 |
ASA 3 | 71,734 | 57 | 39,666 | 58 | 32,068 | 57 | ||
ASA 4 or 5 | 22,341 | 18 | 12,979 | 19 | 9362 | 17 | ||
Missing | 1945 | 2 | 1245 | 2 | 700 | 1 | ||
Preinjury mobility | Freely mobile without aids | 45,388 | 36 | 23,970 | 35 | 21,418 | 38 | − 0.097 |
Mobile outdoors with one aid or two aids or frame | 46,228 | 37 | 25,326 | 37 | 20,902 | 37 | ||
Some indoor mobility but never goes out, or no functional mobility | 32,207 | 26 | 18,827 | 27 | 13,380 | 24 | ||
Missing | 1137 | 1 | 728 | 1 | 409 | 1 | ||
Pre-operative cognitive state (Abbreviated Mental Test Score) | 0–7 | 43,690 | 35 | 26,202 | 38 | 17,488 | 31 | 0.15 |
8–10 | 75,834 | 61 | 39,738 | 58 | 36,096 | 64 | ||
Missing | 5436 | 4 | 2911 | 4 | 2525 | 5 | ||
Operation type | Hemiarthroplasty | 55,176 | 44 | 29,661 | 43 | 25,515 | 45 | 0.07 |
Total hip replacement | 10,030 | 8 | 4709 | 7 | 5321 | 9 | ||
Internal fixation—cannulated screws | 3291 | 3 | 1817 | 3 | 1474 | 3 | ||
Internal fixation—intramedullary nail | 17,783 | 14 | 10,929 | 16 | 6854 | 12 | ||
Internal fixation—sliding hip screw | 38,402 | 31 | 21,564 | 31 | 16,838 | 30 | ||
Other/missing | 278 | <1 | 171 | <1 | 107 | <1 | ||
Grade of surgeon | Consultant | 87,934 | 70 | 48,032 | 70 | 39,902 | 71 | − 0.022 |
Other | 36,714 | 29 | 20,617 | 30 | 16,097 | 29 | ||
Missing | 312 | <1 | 202 | <1 | 110 | <1 | ||
Grade of anaesthetist | Consultant | 106,803 | 85 | 59,107 | 86 | 47,696 | 85 | 0.039 |
Other | 16,712 | 13 | 8805 | 13 | 7863 | 14 | ||
Missing | 1444 | 1 | 894 | 1 | 550 | 1 | ||
Time to theatre from admissionb |  | Median=24.7 IQR=18.7–40.6 | Median=24.7 IQR=18.7–40.4 | Median=24.7 IQR=18.7–40.9 | 0.008 | |||
Time to theatre from admission ≥36 hours | Yes | 37,908 | 30 | 20,734 | 30 | 17,174 | 31 | 0.008 |
No | 87,052 | 70 | 48,117 | 70 | 38,935 | 69 | ||
Nerve block in the Emergency Department or the ward before arrival in theatre suite | Yes | 60,848 | 49 | 32,713 | 48 | 28,135 | 50 | 0.058 |
No | 58,930 | 47 | 33,295 | 48 | 25,635 | 46 | ||
Missing | 5182 | 4 | 2843 | 4 | 2339 | 4 |