Evidence map›Paper›PMID 33801169›Full record

ArticleJournal of clinical medicine2021

Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment.

Javier Marco-Martínez, José Luis Bernal-Sobrino, Cristina Fernández-Pérez, Francisco Javier Elola-Somoza, Javier Azaña-Gómez, José Luis García-Klepizg, Emmanuel Andrès, Antonio Zapatero-Gaviria, Raquel Barba-Martin, Fernando Marco-Martinez and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 13 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

13 authors at 5 institutions in 2 countries.

Javier Marco-MartínezInternal Medicine Department, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
José Luis Bernal-SobrinoServicio de Control de Gestión, Hospital 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0001-7991-1875
Cristina Fernández-PérezServicio de Medicina Preventiva, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
Francisco Javier Elola-SomozaFundación Para la Mejora de la Asistencia Sanitaria, Elola Consultores, 28008 Madrid, Spain.ORCID 0000-0002-4473-5864
Javier Azaña-GómezInternal Medicine Department, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
José Luis García-KlepizgInternal Medicine Department, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
Emmanuel AndrèsService de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.ORCID 0000-0002-7914-7616
Antonio Zapatero-GaviriaInternal Medicine Department, Hospital Universitario de Fuenlabrada, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Alcorcón, 28942 Madrid, Spain.ORCID 0000-0003-1301-1289
Raquel Barba-MartinInternal Medicine Department, Hospital Universitario Rey Juan Carlos, Facultad de Ciencias de la Salud, Alcorcón, Universidad Rey Juan Carlos, 28933 Madrid, Spain.
Fernando Marco-MartinezTraumatology Department, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
Jesus Canora-LebratoInternal Medicine Department, Hospital Universitario de Fuenlabrada, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Alcorcón, 28942 Madrid, Spain.ORCID 0000-0002-5231-9721
Noel Lorenzo-VillalbaService de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.
Manuel Méndez-BailónInternal Medicine Department, Hospital Clínico San Carlos, Universidad Complutense, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos IdISSC, 28040 Madrid, Spain.
Hospital Clínico San Carlos · ESUniversidad Rey Juan Carlos · ESHôpitaux Universitaires de Strasbourg · FRFundación Instituto para la Mejora de la Asistencia Sanitaria · ESHospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemoral neck fracture (FNF) is a common condition with a rising incidence, partly due to aging of the population. It is recommended that FNF should be treated at the earliest opportunity, during daytime hours, including weekends. However, early surgery shortens the available time for preoperative medical examination. Cardiac evaluation is critical for good surgical outcomes as most of these patients are older and frail with other comorbid conditions, such as heart failure. The aim of this study was to determine the impact of heart failure on in-hospital outcomes after surgical femoral neck fracture treatment.

methodsWe performed a retrospective study using the Spanish National Hospital Discharge Database, 2007-2015. We included patients older than 64 years treated for reduction and internal fixation of FNF. Demographic characteristics of patients, as well as administrative variables, related to patient's diseases and procedures performed during the episode were evaluated.

resultsA total of 234,159 episodes with FNF reduction and internal fixation were identified from Spanish National Health System hospitals during the study period; 986 (0.42%) episodes were excluded, resulting in a final study population of 233,173 episodes. Mean age was 83.7 (±7) years and 179,949 (77.2%) were women (

conclusionsPatients with HF undergoing FNF surgery have longer length of stay and higher rates of both major complications and mortality than those without HF. Although their average length of stay has decreased in the last few years, their mortality rate has remained unchanged.

Indexed as

femoral neck fractureheart failurein-hospital outcomes

Identifiers

PMID33801169
PMCPMC7957564
OpenAlexW3134844324

What OpenQuestion holds

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Registered trials

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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.