| Title |
In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study
|
|---|---|
| Published in |
Archives of Osteoporosis, September 2018
|
| DOI | 10.1007/s11657-018-0515-8 |
| Pubmed ID | |
| Authors |
Daniel Prieto-Alhambra, Carlen Reyes, Miguel Sanz Sainz, Jesús González-Macías, Luis Gracia Delgado, Cristina Alonso Bouzón, Sarah Mills Gañan, Damián Mifsut Miedes, Eduardo Vaquero-Cervino, Manuel Francisco Bravo Bardaji, Laura Ezquerra Herrando, Fátima Brañas Baztán, Bartolomé Lladó Ferrer, Ivan Perez-Coto, Gaspar Adrados Bueno, Jesús Mora-Fernandez, Teresa Espallargas Doñate, Jorge Martínez-Iñiguez Blasco, Ignacio Aguado-Maestro, Pilar Sáez-López, Monica Salomó Doménech, Vicente Climent-Peris, Ángel Díez Rodríguez, Humberto Kessel Sardiñas, Óscar Tendero Gómez, Jordi Teixidor Serra, José Ramón Caeiro-Rey, Ignacio Andrés Cano, Mariano Barrés Carsi, Iñigo Etxebarria-Foronda, Juan Dionisio Avilés Hernández, Juan Rodriguez Solis, Oscar Torregrosa Suau, Xavier Nogués, Antonio Herrera, Adolfo Díez-Perez |
| Abstract |
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%. To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. 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. 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. 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. |
X Demographics
The data shown below were collected from the profiles of 11 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 7 | 64% |
| United Kingdom | 1 | 9% |
| Unknown | 3 | 27% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 9 | 82% |
| Scientists | 2 | 18% |
Mendeley readers
The data shown below were compiled from readership statistics for 110 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 110 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 16 | 15% |
| Student > Bachelor | 13 | 12% |
| Student > Master | 12 | 11% |
| Student > Postgraduate | 9 | 8% |
| Other | 7 | 6% |
| Other | 23 | 21% |
| Unknown | 30 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 48 | 44% |
| Nursing and Health Professions | 6 | 5% |
| Social Sciences | 3 | 3% |
| Pharmacology, Toxicology and Pharmaceutical Science | 2 | 2% |
| Immunology and Microbiology | 2 | 2% |
| Other | 9 | 8% |
| Unknown | 40 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 October 2018.
All research outputs
#4,794,565
of 23,577,654 outputs
Outputs from Archives of Osteoporosis
#128
of 654 outputs
Outputs of similar age
#92,009
of 338,532 outputs
Outputs of similar age from Archives of Osteoporosis
#3
of 18 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 654 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has done well, scoring higher than 80% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 338,532 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 83% of its contemporaries.