000075554 001__ 75554 000075554 005__ 20200117221608.0 000075554 0247_ $$2doi$$a10.1007/s11657-018-0515-8 000075554 0248_ $$2sideral$$a108005 000075554 037__ $$aART-2018-108005 000075554 041__ $$aeng 000075554 100__ $$aPrieto-Alhambra, D. 000075554 245__ $$aIn-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study 000075554 260__ $$c2018 000075554 5060_ $$aAccess copy available to the general public$$fUnrestricted 000075554 5203_ $$aWe 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%. Purpose To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. Methods 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. Results 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. Conclusions 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. 000075554 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000075554 590__ $$a2.469$$b2018 000075554 591__ $$aORTHOPEDICS$$b24 / 76 = 0.316$$c2018$$dQ2$$eT1 000075554 591__ $$aENDOCRINOLOGY & METABOLISM$$b93 / 145 = 0.641$$c2018$$dQ3$$eT2 000075554 592__ $$a0.813$$b2018 000075554 593__ $$aOrthopedics and Sports Medicine$$c2018$$dQ2 000075554 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000075554 700__ $$aReyes, C. 000075554 700__ $$aSanz Sainz, M. 000075554 700__ $$aGonzalez-Macias, J. 000075554 700__ $$aDelgado, L.G. 000075554 700__ $$aBouzon, C.A. 000075554 700__ $$aGanan, S.M. 000075554 700__ $$aMiedes, D.M. 000075554 700__ $$aVaquero-Cervino, E. 000075554 700__ $$aBardaji, M.F.B. 000075554 700__ $$aEzquerra Herrando, L. 000075554 700__ $$aBaztan, F.B. 000075554 700__ $$aFerrer, B.L. 000075554 700__ $$aPerez-Coto, I. 000075554 700__ $$aBueno, G.A. 000075554 700__ $$aMora-Fernandez, J. 000075554 700__ $$aDonate, T.E. 000075554 700__ $$aBlasco, J.M.I. 000075554 700__ $$aAguado-Maestro, I. 000075554 700__ $$aSaez-Lopez, P. 000075554 700__ $$aDomenech, M.S. 000075554 700__ $$aCliment-Peris, V. 000075554 700__ $$aRodriguez, A.D. 000075554 700__ $$aSardinas, H.K. 000075554 700__ $$aGomez, O.T. 000075554 700__ $$aSerra, J.T. 000075554 700__ $$aCaeiro-Rey, J.R. 000075554 700__ $$aCano, I.A. 000075554 700__ $$aCarsi, M.B. 000075554 700__ $$aEtxebarria-Foronda, I. 000075554 700__ $$aHernandez, J.D.A. 000075554 700__ $$aSolis, J.R. 000075554 700__ $$aSuau, O.T. 000075554 700__ $$aNogues, X. 000075554 700__ $$0(orcid)0000-0002-8643-7558$$aHerrera, A.$$uUniversidad de Zaragoza 000075554 700__ $$aDiez-Perez, A. 000075554 7102_ $$11004$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Traumatología y Ortopedia 000075554 773__ $$g13, 1 (2018), 96 [11 pp]$$pArch. osteoporos.$$tArchives of Osteoporosis$$x1862-3522 000075554 8564_ $$s1265947$$uhttps://zaguan.unizar.es/record/75554/files/texto_completo.pdf$$yVersión publicada 000075554 8564_ $$s9905$$uhttps://zaguan.unizar.es/record/75554/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000075554 909CO $$ooai:zaguan.unizar.es:75554$$particulos$$pdriver 000075554 951__ $$a2020-01-17-21:47:42 000075554 980__ $$aARTICLE