M Jesús Molina Hernández1, Cristina González de Villaumbrosia2, Elisa Martín de Francisco de Murga3, Teresa Alarcón Alarcón4, Nuria Montero-Fernández5, Julia Illán6, Rafael Bielza7, Jesús Mora-Fernández8. 1. Hospital Universitario Severo Ochoa, Leganés, Madrid, España. 2. Servicio de Geriatría, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España. 3. Hospital Infanta Elena, Valdemoro, Madrid, España. 4. Servicio de Geriatría, IdiPAZ, Hospital Universitario La Paz, Madrid, España. 5. Servicio de Geriatría, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital Universitario Gregorio Marañón, Madrid, España. 6. Hospital Universitario de Getafe, Getafe, Madrid, España. 7. Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España. 8. Servicio de Geriatría, IdISSC, Hospital Universitario Clínico San Carlos, Madrid, España. Electronic address: j_moraf@yahoo.es.
Abstract
OBJECTIVE: To describe the characteristics of patients with hip fractures admitted over a period of two years (from January 2015 to December 2016) in eight Orthogeriatric Units in public hospitals of the Community of Madrid. MATERIAL AND METHOD: This is a descriptive, prospective and multi-centre study. In 2014, all hospitals in Madrid providing joint Geriatric and Traumatology assistance were invited to a recently created orthogeriatric work group. Geriatricians in charge of the Orthogeriatric Unit from eight hospitals took part in this study. The participants established a database including all variables that influenced health outcomes (socio-demographic and clinical variables). RESULTS: The study includes 3,995 patients, with a mean age of 85.3years (range: 58-108years old). Two-thirds of them were ASA (American Society Physical Status Classification System) III-IV. Almost all (96.7%) of the patients underwent a surgical operation, and 35.9% of them were operated during the first 48hours. The delay was mainly due to logistic problems (43.5%). The mean hospital stay was 11.2days. Just over half (53.1%) of the patients required a blood transfusion. In-hospital mortality was 5.3%. DISCUSSION: Hip fracture registries are essential tools to monitor the healthcare process of these patients, as well as to improve the quality of care. Our results are similar to other records. It would be necessary to improve pre-operative time, which must be less than 48hours in patients without clinical instability. We also need more resources for functional recovery and more uniformity.
OBJECTIVE: To describe the characteristics of patients with hip fractures admitted over a period of two years (from January 2015 to December 2016) in eight Orthogeriatric Units in public hospitals of the Community of Madrid. MATERIAL AND METHOD: This is a descriptive, prospective and multi-centre study. In 2014, all hospitals in Madrid providing joint Geriatric and Traumatology assistance were invited to a recently created orthogeriatric work group. Geriatricians in charge of the Orthogeriatric Unit from eight hospitals took part in this study. The participants established a database including all variables that influenced health outcomes (socio-demographic and clinical variables). RESULTS: The study includes 3,995 patients, with a mean age of 85.3years (range: 58-108years old). Two-thirds of them were ASA (American Society Physical Status Classification System) III-IV. Almost all (96.7%) of the patients underwent a surgical operation, and 35.9% of them were operated during the first 48hours. The delay was mainly due to logistic problems (43.5%). The mean hospital stay was 11.2days. Just over half (53.1%) of the patients required a blood transfusion. In-hospital mortality was 5.3%. DISCUSSION: Hip fracture registries are essential tools to monitor the healthcare process of these patients, as well as to improve the quality of care. Our results are similar to other records. It would be necessary to improve pre-operative time, which must be less than 48hours in patients without clinical instability. We also need more resources for functional recovery and more uniformity.
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
Authors: Tim J S Chesser; Dominic Inman; Antony Johansen; Alberto Belluati; Carlotta Pari; Achille Contini; Stijn C Voeten; Johannes H Hegeman; Kornelis J Ponsen; Nuria Montero-Fernández; Alberto Delgado-Martínez; Francisco Chana-Rodríguez Journal: OTA Int Date: 2020-03-23