Evidence map›Paper›PMID 33226013›Full record

Observational studyRevista espanola de salud publica2020

[Influence of early hip fracture surgery in the elderly on mortality, readmissions, dependence and quality of life.]

María Victoria Ruiz-Romero, María Del Rocío Fernández-Ojeda, Javier Castilla Yélamo, José Boris García-Benítez, María Luz Calero-Bernal, Antonio Fernández-Moyano

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 34% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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 3 countries.

María Victoria Ruiz-RomeroUnidad de Calidad e Investigación. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
María Del Rocío Fernández-OjedaServicio de Medicina Interna. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
Javier Castilla YélamoServicio de Medicina Interna. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
José Boris García-BenítezServicio de Cirugía Traumatológica y Ortopédica. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
María Luz Calero-BernalServicio de Medicina Interna. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
Antonio Fernández-MoyanoServicio de Medicina Interna. Hospital San Juan de Dios del Aljarafe (Bormujos). Sevilla. España.
Hospital San Juan de Dios · VE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn spite of technical advances, hip fracture causes high mortality in the elderly. We wanted to know early surgery influence to mortality during admission, one year and after five years, as well as readmissions at one month and one year. We also wanted to know how dependence and Health-Related Quality of Life (HRQOL) evolved in the twelve months of follow-up and what factors were associated with poor patient evolution.

methodsA prospective observational study was made in patients over 65 years of age treated for osteoporotic hip fracture in a level III hospital between 2010- 2012, with consecutive sampling. We evaluated functionality (Barthel) and quality of life (EuroQol-5D) basal (before fracture), within 30 days, within six and twelve months; readmissions within the 30 days and within one year; and mortality during admission; within one and five years. We used the statistical program SPSS Version 25.0 for the statistical analysis.

resultsWe followed 327 patients of 82.9 (SD: 6.9) years of means, 258 (78.9%) were women. Fifty-four (45.9%) were treated within 24 hours and 237 (72.5%) within 48 hours. They returned 14 (4.3%) within the 30 days and 44 (13.5%) within the one year. There were 8 deaths during admission (2.4%) and 61 (19.2%) in the first year and 185 (54,6%) within five years. The pre-fracture quality of life was 0.43 median (0.24-0.74), at the month 0.15 (0.07-0.28), at six months 0.26 (0, 13-0.59) and at twelve 0.24 (0.15-0.58). The previous functionality was 85.0 (55.0-100) at the month 35.0 (20.0-60.0) and 60.0 (25.0-85.0) at six and twelve months. There were significant differences between all visits except between six and twelve months.

conclusionsThe patients get worse significantly at the month of surgery and recover in the six months, remaining at twelve, without reaching the baseline value. The results in mortality and readmissions per year are worse for men and older. Early surgery does not reduce mortality, but re-admissions to the year.

Indexed as

Patient ReadmissionAgedAged, 80 and overFemaleHip FracturesHospitalizationHumansMaleOsteoporotic FracturesProspective StudiesQuality of LifeSex FactorsSpainElderlyFunctionalityHip fractureMortalityMultidisciplinary careQuality of lifeReadmissionsSpain

Identifiers

PMID33226013
PMCPMC11583099
OpenAlexW3110635934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.