ArticleArchives of osteoporosis2018
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.
Article in Archives of osteoporosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- [SEIOMM-SEMERGEN-semFYC-SEMG recommendations for the management of patients with osteoporosis/fragility fracture in primary care].Atencion primaria · 2026Guideline
- Risk factors for urinary tract infection in geriatric hip fracture patients: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- Trial
- Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial.International journal of environmental research and public health · 2020Trial
- Impact of Osteoporosis Therapy in Geriatric Proximal Femur Fractures: A Retrospective Analysis from the German Registry for Geriatric Trauma (ATR-DGUJournal of clinical medicine · 2026Article
- Improved Barthel Index Speed Is a Prognostic Indicator of Secondary Complications following Hip Hemiarthroplasty in Femoral Neck Fractures.Hip & pelvis · 2026Article
- Time Is Bone: Missed Opportunities for Secondary Prevention After a Hip Fracture.Journal of clinical medicine · 2025Review
- Contemporary pharmacological management of patients after hip fracture: a population-based cohort of over 120,000 patients in Spain.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Unveiling the hidden risks: 90-day mortality and complications in older adults with proximal femur fractures.Aging clinical and experimental research · 2025Article
- Effectiveness of a co-management program with internal medicine on hip fracture patients at a regional hospital in northwest Spain. Co-inter-Monf study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Article
- Outcomes in very elderly ICU patients surgically treated for proximal femur fractures.Scientific reports · 2024Article
- Factors Associated with Readmission within 30 Days after Discharge and In-Hospital Mortality after Proximal Femoral Fracture Surgery in the Elderly: Retrospective Cohort.Revista brasileira de ortopedia · 2023Article
- The grade of instability in fragility fractures of the pelvis correlates with impaired early mobilization.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Risk factors for a second nonsimultaneous hip fracture in a prospective cohort study.Archives of orthopaedic and trauma surgery · 2022Article
- The Economic Burden of Severe Osteoporotic Fractures in the French Healthcare Database: The FRACTOS Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022Article
- Prevalence and treatment of fragility fractures in Spanish primary care: PREFRAOS study.Archives of osteoporosis · 2022Observational
- EPIDEMIOLOGY OF PROXIMAL FEMUR FRACTURE IN OLDER ADULTS IN A PHILANTHROPICAL HOSPITAL IN SÃO PAULO.Acta ortopedica brasileira · 2022Article
- Direct anterior approach provides better functional outcomes when compared to direct lateral approach in hip hemiarthroplasty following femoral neck fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation: data from the German Centres of Geriatric Trauma DGU.Archives of osteoporosis · 2021Article
Corrections and comments
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Authors and funding
36 authors at 20 institutions in 2 countries.
Funding
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%. PURPOSE: To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain.
methodsDesign: 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.
resultsA 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.
conclusionsDespite 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.
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