RT Journal Article
T1 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.
A1 Prieto-Alhambra, Daniel
A1 Reyes, Carlen
A1 Sainz, Miguel Sanz
A1 González-Macías, Jesús
A1 Delgado, Luis Gracia
A1 Bouzón, Cristina Alonso
A1 Gañan, Sarah Mills
A1 Miedes, Damián Mifsut
A1 Vaquero-Cervino, Eduardo
A1 Bardaji, Manuel Francisco Bravo
A1 Herrando, Laura Ezquerra
A1 Baztán, Fátima Brañas
A1 Ferrer, Bartolomé Lladó
A1 Perez-Coto, Ivan
A1 Bueno, Gaspar Adrados
A1 Mora-Fernandez, Jesús
A1 Doñate, Teresa Espallargas
A1 Blasco, Jorge Martínez-Iñiguez
A1 Aguado-Maestro, Ignacio
A1 Sáez-López, Pilar
A1 Doménech, Monica Salomó
A1 Climent-Peris, Vicente
A1 Rodríguez, Ángel Díez
A1 Sardiñas, Humberto Kessel
A1 Gómez, Óscar Tendero
A1 Serra, Jordi Teixidor
A1 Caeiro-Rey, José Ramón
A1 Cano, Ignacio Andrés
A1 Carsi, Mariano Barrés
A1 Etxebarria-Foronda, Iñigo
A1 Hernández, Juan Dionisio Avilés
A1 Solis, Juan Rodriguez
A1 Suau, Oscar Torregrosa
A1 Nogués, Xavier
A1 Herrera, Antonio
A1 Díez-Perez, Adolfo
K1 Hip fracture
K1 Osteoporosis and patient care management
K1 Registries
AB 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.
YR 2018
FD 2018-09-14
LK http://hdl.handle.net/10668/12950
UL http://hdl.handle.net/10668/12950
LA en
DS RISalud
RD Apr 9, 2025