| Autor: |
Prieto-Alhambra, Daniel, Reyes, Carlen, Sainz, Miguel Sanz, González-Macías, Jesús, Delgado, Luis Gracia, Bouzón, Cristina Alonso, Gañan, Sarah Mills, Miedes, Damián Mifsut, Vaquero-Cervino, Eduardo, Bardaji, Manuel Francisco Bravo, Herrando, Laura Ezquerra, Baztán, Fátima Brañas, Ferrer, Bartolomé Lladó, Perez-Coto, Ivan, Bueno, Gaspar Adrados, Mora-Fernandez, Jesús, Doñate, Teresa Espallargas, Blasco, Jorge Martínez-Iñiguez, Aguado-Maestro, Ignacio, Sáez-López, Pilar |
| Zdroj: |
Archives of Osteoporosis; 9/14/2018, Vol. 13 Issue 1, p1-1, 1p |
| Abstrakt: |
Summary: We 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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