Evidence map›Paper›PMID 25232517›Full record

ReviewWorld journal of orthopedics2014

Complications of hip fractures: A review.

Pedro Carpintero, Jose Ramón Caeiro, Rocío Carpintero, Angela Morales, Samuel Silva, Manuel Mesa

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of orthopedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07288996 (Fractionated Spinal Anesthesia With Combined Isobaric and Hyperbaric Bupivacaine Toward Safer Anesthesia for Elderly Hip Fracture Patients), which is not on this map. Cited by 159 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 8 pooled it
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07288996 nacompletednot on this mapstarted 2025, after this paper: background citation

Fractionated Spinal Anesthesia With Combined Isobaric and Hyperbaric Bupivacaine Toward Safer Anesthesia for Elderly Hip Fracture Patients: Randomized Controlled Study

TypeinterventionalSponsorTanta UniversityRan2025 to 2026Enrolled108ConditionsSpinal Anesthesia in Elderly PatientsArmsFractionated SA with isobaric and hyperbaric bupivacaine, Fractionated SA with hyperbaric bupivacaine, Conventional SA group
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 8 syntheses or guidelines pooled it, 409 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Tranexamic acid in hip hemiarthroplasty surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Guideline
  9. Leg compression for preventing hypotension after spinal anesthesia in elderly hip fracture patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Pedro CarpinteroPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Jose Ramón CaeiroPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Rocío CarpinteroPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Angela MoralesPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Samuel SilvaPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Manuel MesaPedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain.
Hospital Universitario Reina Sofía · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nowadays, fracture surgery represents a big part of the orthopedic surgeon workload, and usually has associated major clinical and social cost implications. These fractures have several complications. Some of these are medical, and other related to the surgical treatment itself. Medical complications may affect around 20% of patients with hip fracture. Cognitive and neurological alterations, cardiopulmonary affections (alone or combined), venous thromboembolism, gastrointestinal tract bleeding, urinary tract complications, perioperative anemia, electrolytic and metabolic disorders, and pressure scars are the most important medical complications after hip surgery in terms of frequency, increase of length of stay and perioperative mortality. Complications arising from hip fracture surgery are fairly common, and vary depending on whether the fracture is intracapsular or extracapsular. The main problems in intracapsular fractures are biological: vascularization of the femoral head, and lack of periosteum -a major contributor to fracture healing- in the femoral neck. In extracapsular fractures, by contrast, the problem is mechanical, and relates to load-bearing. Early surgical fixation, the role of anti-thromboembolic and anti-infective prophylaxis, good pain control at the perioperative, detection and management of delirium, correct urinary tract management, avoidance of malnutrition, vitamin D supplementation, osteoporosis treatment and advancement of early mobilization to improve functional recovery and falls prevention are basic recommendations for an optimal maintenance of hip fractured patients.

Indexed as

AnesthesiaComplicationsHip fractureMorbidityMortality

Identifiers

PMID25232517
PMCPMC4133447
OpenAlexW1973732468

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.