Introduction: The aging population in Croatia reflects demographic challenges. Falls in old age become a pronounced public health issue as they result in injuries and fatalities. Hip fractures dominate among the causes of death. Aim of the research: The aim is to analyse falls with hip fracture from 2001 to 2021 in Croatia. Participants and methods: The study included citizens over 65 years old in Croatia according to the population censuses of 2001, 2011, and 2021. Data were collected from publicly available sources and analysed in MS Office Excel 2016. The studied variables were presented in absolute and relative frequencies according to gender and age. Differences were tested using the Chi-square test, while the level of association was quantified using Cramer's V measure. The level of statistical significance is p <0.05. The study is of low risk. Results: There is a statistically significant difference in distribution by age and gender for all variables examined, with moderate to strong associations for the number of hospitalizations and the number of days of hospital treatment, indicating a pronounced "gender effect" in favor of older women. For mortality outcomes, although there is a gender association, it is not as pronounced as for other variables. Conclusion: Demographic characteristics of society show a growing trend in the number of hospitalizations, duration of hospital stays, and mortality outcomes due to falls and hip fractures, especially among women over 65 years old. Therefore, it is important to emphasize the significance of physiotherapeutic assessment of fall risk and fall prevention through exercise and education. There is a predicted need for reorganization of the healthcare system to improve quality of life and reduce the risk of falls and their consequences among the elderly population.