OBJECTIVES: Femoral neck fracture is one of the most common type of fractures in the elderly resulting from falls. The aim of our study was to determine the epidemiological disease burden of femoral neck fracture.

METHODS: Data were derived from the financial database of the Hungarian National Health Insurance Fund Administration (NHIFA), for the year 2018. Data analysed included annual patient numbers, case numbers and prevalence of care utilisation per 100,000 population according to age groups and sex. The following health insurance treatment categories were included into our study: general practice care, home care, in- and outpatient care, medical imaging, laboratory diagnostics, drugs and medical aids. Patients with femoral neck fracture were identified with the following code of the International Classification of Diseases 10^th revision: S7200.

RESULTS: The highest national patient numbers were in outpatient care: 4,261 men and 9,338 women, in total 13,599 patients, followed by general practice care (2,234 men and 5,044 women, in total 7,278), and acute inpatient care (2,082 men and 4,780 women, in total 6,862). Based on patient numbers of acute in-patient care, prevalence in 100,000 among men was 44.6 patients, among women 93.6 patients, in total 70.2. Average age of patients in acute inpatient care was 76.3 years, there was a significant difference (5.9 years) between men (72.1 years) and women (78.1 years). As regards sex distribution in outpatient care: 31.3% of patients were men, 68.7% were women, in acute inpatient care men accounted for 30.3%, women for 69.7% of patients.

CONCLUSIONS: Prevalence of femoral neck fracture was 2.1-times higher among women than among men. Average age of women was 5.9 years higher than that of men. Higher patient numbers among women and their higher age was due to the high proportion of affected women suffering from osteoporosis.