Evidence map›Paper›PMID 33970467›Full record

ArticleEuropean geriatric medicine2021

Differences in the baseline characteristics, management and outcomes of patients with hip fractures depending on their pre-fracture place of residence: the Spanish National Hip Fracture Registry (RNFC) cohort.

Peggy P Ríos-Germán, Alicia Gutierrez-Misis, Rocío Queipo, Cristina Ojeda-Thies, Pilar Sáez-López, Teresa Alarcón, Angel Otero Puime, Paloma Gómez-Campelo, Laura Navarro-Castellanos, Juan Ignacio González-Montalvo and 1 more

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In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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

11 authors.

Peggy P Ríos-GermánDepartment of Geriatric Medicine, Geriatric Service, Hospital Universitario La Paz, Paseo La Castellana 261, 28046, Madrid, Spain. peggypaola.rios@salud.madrid.org.ORCID http://orcid.org/0000-0002-2784-0478
Alicia Gutierrez-MisisLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Rocío QueipoLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Cristina Ojeda-ThiesDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Pilar Sáez-LópezLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Teresa AlarcónDepartment of Geriatric Medicine, Geriatric Service, Hospital Universitario La Paz, Paseo La Castellana 261, 28046, Madrid, Spain.
Angel Otero PuimeLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Paloma Gómez-CampeloLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Laura Navarro-CastellanosLa Paz University Hospital Institute for Health Research (IdiPAZ), Madrid, Spain.
Juan Ignacio González-MontalvoDepartment of Geriatric Medicine, Geriatric Service, Hospital Universitario La Paz, Paseo La Castellana 261, 28046, Madrid, Spain.
participants in the Spanish National Hip Fracture Registry (RNFC)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne in four hip fracture patients comes from an aged care facility. This study aimed to compare the characteristics of these subjects with their community-dwelling counterparts at baseline, during hospitalization and 1-month post-fracture.

methodsWe analyzed data from a cohort of older adults admitted with hip fractures to 75 Spanish hospitals, collected prospectively in the Spanish National Hip Fracture Registry between 2016 and 2018. We classified participants according to pre-fracture residence: community dwellers vs. aged care facilities residents. We collected demographic records at baseline, along with variables relating to in-hospital evolution and discharge to geriatric rehabilitation units. Patients or relatives were interviewed at 1-month follow-up.

resultsOut of 18,262 patients, 4,422 (24.2%) lived in aged care facilities. Aged care facilities residents were older (median age: 89 vs. 86 years), less mobile (inability to walk independently: 20.8% vs. 9.4%) and had more cognitive impairment (Pfeiffer's SPMSQ > 3, 75.3% vs. 34.8%). They were more likely to receive conservative treatment (5.4% vs. 2.0%) and less likely to be mobilized early (58.2% vs. 63.0%). At discharge, they received less vitamin D supplements (68.5% vs. 72.4%), less anti-osteoporotic medication (29.3% vs. 44.3%), and were referred to geriatric rehabilitation units less frequently (5.4% vs. 27.5%). One-month post-fracture, 45% of aged care facilities residents compared to 28% of community dwellers experienced a severe gait decline. Aged care facilities residents had a higher one-month mortality (10.6% vs. 6.8%).

conclusionHip fracture patients from aged care facilities are more vulnerable than their community-dwelling peers and are managed differently both during hospitalization and at discharge. Gait decline is disproportionately higher among those admitted from aged care.

Indexed as

Hip FracturesAgedAged, 80 and overCohort StudiesHospitalizationHumansRegistriesWalkingAged care facilitiesFunctional declineHip fractureNational auditRehabilitation

Identifiers

PMID33970467

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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.