Prieto-Alhambra, DanielReyes, CarlenSainz, Miguel SanzGonzález-Macías, JesúsDelgado, Luis GraciaBouzón, Cristina AlonsoGañan, Sarah MillsMiedes, Damián MifsutVaquero-Cervino, EduardoBardaji, Manuel Francisco BravoHerrando, Laura EzquerraBaztán, Fátima BrañasFerrer, Bartolomé LladóPerez-Coto, IvanBueno, Gaspar AdradosMora-Fernandez, JesúsDoñate, Teresa EspallargasBlasco, Jorge Martínez-IñiguezAguado-Maestro, IgnacioSáez-López, PilarDoménech, Monica SalomóCliment-Peris, VicenteRodríguez, Ángel DíezSardiñas, Humberto KesselGómez, Óscar TenderoSerra, Jordi TeixidorCaeiro-Rey, José RamónCano, Ignacio AndrésCarsi, Mariano BarrésEtxebarria-Foronda, IñigoHernández, Juan Dionisio AvilésSolis, Juan RodriguezSuau, Oscar TorregrosaNogués, XavierHerrera, AntonioDíez-Perez, Adolfo2023-01-252023-01-252018-09-14http://hdl.handle.net/10668/12950We 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.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Hip fractureOsteoporosis and patient care managementRegistriesAgedAged, 80 and overFemaleFemoral FracturesHip FracturesHospital MortalityHumansMaleMiddle AgedOsteoporotic FracturesProspective StudiesRegistriesSpainresearch article30218380open access10.1007/s11657-018-0515-81862-3514PMC6153683https://link.springer.com/content/pdf/10.1007/s11657-018-0515-8.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153683/pdf