%0 Journal Article
%A Prieto-Alhambra, Daniel
%A Reyes, Carlen
%A Sainz, Miguel Sanz
%A González-Macías, Jesús
%A Delgado, Luis Gracia
%A Bouzón, Cristina Alonso
%A Gañan, Sarah Mills
%A Miedes, Damián Mifsut
%A Vaquero-Cervino, Eduardo
%A Bardaji, Manuel Francisco Bravo
%A Herrando, Laura Ezquerra
%A Baztán, Fátima Brañas
%A Ferrer, Bartolomé Lladó
%A Perez-Coto, Ivan
%A Bueno, Gaspar Adrados
%A Mora-Fernandez, Jesús
%A Doñate, Teresa Espallargas
%A Blasco, Jorge Martínez-Iñiguez
%A Aguado-Maestro, Ignacio
%A Sáez-López, Pilar
%A Doménech, Monica Salomó
%A Climent-Peris, Vicente
%A Rodríguez, Ángel Díez
%A Sardiñas, Humberto Kessel
%A Gómez, Óscar Tendero
%A Serra, Jordi Teixidor
%A Caeiro-Rey, José Ramón
%A Cano, Ignacio Andrés
%A Carsi, Mariano Barrés
%A Etxebarria-Foronda, Iñigo
%A Hernández, Juan Dionisio Avilés
%A Solis, Juan Rodriguez
%A Suau, Oscar Torregrosa
%A Nogués, Xavier
%A Herrera, Antonio
%A Díez-Perez, Adolfo
%T In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study.
%D 2018
%U http://hdl.handle.net/10668/12950
%X We have characterised 997 hip fracture patients from a representative 45 Spanish hospitals, and followed them up prospectively for up to 4 months. Despite suboptimal surgical delays (average 59.1 hours), in-hospital mortality was lower than in Northern European cohorts. The secondary fracture prevention gap is unacceptably high at 85%. To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. Design: prospective cohort study. Consecutive sample of patients ≥ 50 years old admitted in a representative 45 hospitals for a hip or proximal femur fragility fracture, from June 2014 to June 2016 and followed up for 4 months post-fracture. Patient characteristics, site of fracture, in-patient care (including secondary fracture prevention) and complications, and 4-month mortality are described. A total of 997 subjects (765 women) of mean (standard deviation) age 83.6 (8.4) years were included. Previous history of fracture/s (36.9%) and falls (43%) were common, and 10-year FRAX-estimated major and hip fracture risks were 15.2% (9.0%) and 8.5% (7.6%) respectively. Inter-trochanteric (44.6%) and displaced intra-capsular (28.0%) were the most common fracture sites, and fixation with short intramedullary nail (38.6%) with spinal anaesthesia (75.5%) the most common procedures. Surgery and rehabilitation were initiated within a mean 59.1 (56.7) and 61.9 (55.1) hours respectively, and average length of stay was 11.5 (9.3) days. Antithrombotic and antibiotic prophylaxis were given to 99.8% and 98.2% respectively, whilst only 12.4% received secondary fracture prevention at discharge. Common complications included delirium (36.1 %) and kidney failure (14.1%), with in-hospital and 4-month mortality of 2.1% and 11% respectively. Despite suboptimal surgical delay, post-hip fracture mortality is low in Spanish hospitals. The secondary fracture prevention gap is unacceptably high at > 85%, in spite of virtually universal anti-thrombotic and antibiotic prophylaxis.
%K Hip fracture
%K Osteoporosis and patient care management
%K Registries
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