Angélica Muñoz-Pascual1, Pilar Sáez-López2, Sonia Jiménez-Mola3, Natalia Sánchez-Hernández4, Noelia Alonso-García4, Ana Isabel Andrés-Sainz5, M Cruz Macias-Montero1, Carmen Vázquez-Pedrezuela6, Nieves Pereira de Castro Juez7, Pilar Del Pozo-Tagarro8, Carmen Pablos-Hernández9, Carmen Cervera-Díaz10, Ana Cerón-Fernández11, Esther Vuelta-Calzada12, Javier Perez-Jara Carrera13, Alfonso González-Ramírez9, Teresa Collado-Díaz14, Javier Idoate-Gil3, M Teresa Guerrero-Díaz1, Dayro Gutierrez-Bejarano15, Encarnación Martín-Perez16. 1. Sección de Geriatría, Complejo Asistencial de Segovia, Segovia, España. 2. Unidad de Geriatría, Complejo Asistencial de Ávila, Ávila, España; Instituto de Investigación Hospital Universitario La Paz, Fundación Idi Paz, Ávila, España. Electronic address: pisalop@gmail.com. 3. Unidad de Geriatría, Complejo Asistencial Universitario de León, León, España. 4. Servicio de Traumatología, Complejo Asistencial de Ávila, Ávila, España. 5. Unidad de Geriatría, Complejo Asistencial de Palencia, Palencia, España. 6. Unidad de Geriatría, Hospital de Medina del Campo, Medina del Campo, España. 7. Unidad de Geriatría, Complejo Asistencial de Burgos, Burgos, España. 8. Unidad de Geriatría, Hospital Santos Reyes, Aranda de Duero, España. 9. Unidad de Geriatría, Complejo Asistencial Universitario de Salamanca, Salamanca, España. 10. Unidad de Geriatría, Hospital Clínico Universitario de Valladolid, Valladolid, España. 11. Unidad de Geriatría, Hospital Universitario Río Hortega, Valladolid, España. 12. Unidad de Geriatría, Hospital Santiago Apóstol, Miranda de Ebro, España. 13. Unidad de Geriatría, Hospital El Bierzo, Ponferrada, España. 14. Unidad de Geriatría, Complejo Asistencial de Zamora, Zamora, España. 15. Área de Salud de Segovia, Segovia, España. 16. Servicio de Geriatría, Hospital San Juan de Dios, León, España.
Abstract
OBJECTIVE: The objective of this study is to describe the characteristics of the patients with hip fracture admitted to the Public Hospitals of Castilla y León during three monthly periods (November 2014, and October and November 2015). MATERIAL AND METHOD: The Castilla y León orthogeriatrics work group created a common register to collect data on hip fractures. The study included patients 75 years-old and over hospitalised with hip fractures in the 13 public hospitals in the community during November 2014, and October and November 2015. A multicentre, prospective, and observational study was conducted, in which clinical, functional, and social variables, as well as in-hospital mortality, were collected. RESULTS: The analysis included data from a total of 776 patients with a mean age of 86 (±6) years. The surgical delay was 4±2.8 days, and the mean hospital stay was 10±4.7 days. The anaesthesia risk was ASA 3±0.6. Around two-thirds (66.5%) of the patients had medical complications while in hospital, and 55.5% required a transfusion. In-hospital mortality was 4.6%. The mean pre-surgical stay was related to the overall stay: P<.001. CONCLUSIONS: Hip fracture registers are an essential tool for evaluating the process and for improving the treatment quality of these patients. This is the first multicentre register of hip fracture in the elderly created in a Spanish region, and could be a good precedent reference for a future national register.
OBJECTIVE: The objective of this study is to describe the characteristics of the patients with hip fracture admitted to the Public Hospitals of Castilla y León during three monthly periods (November 2014, and October and November 2015). MATERIAL AND METHOD: The Castilla y León orthogeriatrics work group created a common register to collect data on hip fractures. The study included patients 75 years-old and over hospitalised with hip fractures in the 13 public hospitals in the community during November 2014, and October and November 2015. A multicentre, prospective, and observational study was conducted, in which clinical, functional, and social variables, as well as in-hospital mortality, were collected. RESULTS: The analysis included data from a total of 776 patients with a mean age of 86 (±6) years. The surgical delay was 4±2.8 days, and the mean hospital stay was 10±4.7 days. The anaesthesia risk was ASA 3±0.6. Around two-thirds (66.5%) of the patients had medical complications while in hospital, and 55.5% required a transfusion. In-hospital mortality was 4.6%. The mean pre-surgical stay was related to the overall stay: P<.001. CONCLUSIONS:Hip fracture registers are an essential tool for evaluating the process and for improving the treatment quality of these patients. This is the first multicentre register of hip fracture in the elderly created in a Spanish region, and could be a good precedent reference for a future national register.
Authors: C Ojeda-Thies; P Sáez-López; C T Currie; F J Tarazona-Santalbina; T Alarcón; A Muñoz-Pascual; T Pareja; P Gómez-Campelo; N Montero-Fernández; J Mora-Fernández; R Larrainzar-Garijo; E Gil-Garay; I Etxebarría-Foronda; J R Caeiro; A Díez-Pérez; D Prieto-Alhambra; L Navarro-Castellanos; A Otero-Puime; J I González-Montalvo Journal: Osteoporos Int Date: 2019-03-23 Impact factor: 4.507
Authors: Cristina González de Villaumbrosia; Pilar Sáez López; Isaac Martín de Diego; Carmen Lancho Martín; Marina Cuesta Santa Teresa; Teresa Alarcón; Cristina Ojeda Thies; Rocío Queipo Matas; Juan Ignacio González-Montalvo Journal: Int J Environ Res Public Health Date: 2021-04-06 Impact factor: 3.390