Caeiro, Jose RamónBartra, AgustíMesa-Ramos, ManuelEtxebarría, ÍñigoMontejo, JorgeCarpintero, PedroSorio, FrancescGatell, SoniaFarré, AndreaCanals, LauraPROA investigators2023-01-252023-01-252016-10-14http://hdl.handle.net/10668/10534The purpose of this study was to estimate the burden of osteoporotic fractures beyond the hospitalization period covering up to the first year after the fracture. This was a prospective, 12-month, observational study including patients aged ≥65 years hospitalized due to a first low-trauma hip fracture, in six Spanish regions. Health resource utilization (HRU), quality of life (QoL) and autonomy were collected and total costs calculated. Four hundred and eighty seven patients (mean ± SD age 83 ± 7 years, 77 % women) were included. Twenty-two percent of patients reported a prior non-hip low-trauma fracture, 16 % were receiving osteoporotic treatment at baseline, and 3 % had densitometry performed (1.8 % T-score ≤-2.5). Sixteen percent of patients died (women 14 %; men 25 %; p = 0.0011) during the first year. Mean hospital stay was 11.8 ± 7.9 days and 95.1 % of patients underwent surgery. Other relevant HRUs were: outpatient visits in 78 % of patients (mean 9.2 ± 9.7); walking aids, 58.7 %; rehabilitation facilities, 35.5 % (28.7 ± 41.2 sessions); and formal and informal home care, 22.2 % (49.6 ± 72.2 days) and 53.4 % (77.1 ± 101.0 h), respectively. Mean direct cost was €9690 (95 % confidence interval: 9184-10,197) in women and €9019 (8079-9958) in men. Main cost drivers were: first hospitalization episode (women €7067 [73 %]; men €7196 [80 %]); outpatient visits (€1323 [14 %]; €997 [11 %]); and home care (€905 [9 %]; €767 [9 %]). QoL and autonomy showed a marked decrease during hospitalization, not entirely recovered at 12 months (p enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/AutonomyCostHip fractureOsteoporosisQuality of lifeAgedAged, 80 and overFemaleHealth Care CostsHip FracturesHospitalizationHumansLength of StayMaleMiddle AgedOsteoporosisOsteoporotic FracturesProspective StudiesQuality of LifeSpainresearch article27738719open access10.1007/s00223-016-0193-81432-0827PMC5214753https://link.springer.com/content/pdf/10.1007%2Fs00223-016-0193-8.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5214753/pdf