Evidence map›Paper›PMID 40074889›Full record

Observational studyAging clinical and experimental research2025

Epidemiology and trends of hip fracture in centenarians: changes in clinical profile and in-hospital outcomes from a nationwide register study in Spain across 2004-2020.

Juan Carlos Piñeiro-Fernández, Ramón Rabuñal-Rey, Eva Romay-Lema, Cristina Pedrosa-Fraga, David Rubal-Bran, Roi Suárez-Gil, Álvaro Marchán-López, Sonia Pértega-Díaz

Abstract readObservational Study
In one paragraph

Observational study in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Juan Carlos Piñeiro-FernándezInternal Medicine Department, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain. juan.carlos.pineiro.fernandez@udc.es.ORCID http://orcid.org/0000-0001-9549-627X
Ramón Rabuñal-ReyInfectious Diseases Unit, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.ORCID http://orcid.org/0000-0001-5106-5005
Eva Romay-LemaInfectious Diseases Unit, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.ORCID http://orcid.org/0000-0002-0350-8710
Cristina Pedrosa-FragaInternal Medicine Department, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.ORCID http://orcid.org/0000-0003-2373-2872
David Rubal-BranInternal Medicine Department, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.
Roi Suárez-GilInternal Medicine Department, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.ORCID http://orcid.org/0000-0003-4718-9931
Álvaro Marchán-LópezInternal Medicine Department, Lucus Augusti University Hospital, SERGAS. 1 Ulises Romero Street, Lugo, 27003, Spain.ORCID http://orcid.org/0000-0001-5949-8032
Sonia Pértega-DíazDepartment of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña. Rheumatology and Health Research Group, Esteiro, Ferrol, 15403, Spain.ORCID http://orcid.org/0000-0003-3891-3203

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal hip fractures (PHFs) increased worldwide due to population ageing and represent the third cause of admission in Spanish centenarians. Recognizing trends in their evolution could improve their healthcare.

aimTo describe changes in trends in clinical characteristics, surgical decisions and in-hospital outcomes in PHF among centenarians in Spain, 2004 and 2020.

methodsThis retrospective observational study included centenarians hospitalized with a principal diagnosis of PHF using data from the Hospital Discharge Records-Minimum Basic Data Set of the Spanish National Health System. Trends were analyzed using joinpoint regression analysis and descriptive and univariate statistics.

results4,261 PHF admissions among centenarians were recorded. The number of PHF admissions increased from 147 in 2004 to 339 in 2020 (Average Percentage Change (APC)= 3.8%), with a higher increase in women. However, there was a reduction in the incidence of admissions in the last five years. Despite a significant increase in multimorbidity (from 44.4 to 64.1%) and in-hospital complications, there was a decreased in surgical delay (with more surgeries performed within 48 h: from 27.6 to 43.3%) and length of hospital stay (from 12.2 ± 8.6 to 9.7 ± 8.0 days), with a notable shift towards arthroplasty (from 28.7 to 52.7%), and stable mortality rates (APC=-1.5).

conclusionThis study indicates an increased complexity in patient profiles, with higher rates of multimorbidity and complications, but improvements in surgical care have led to reduced surgical delays and shorter hospital stays. Future studies are necessary to understand the factors associated with these trends and to design specific strategies in this vulnerable population.

Indexed as

Hip FracturesAged, 80 and overFemaleHospitalizationHumansIncidenceLength of StayMaleRegistriesRetrospective StudiesSpainCentenariansComorbidityElectronic health recordsEpidemiologic studiesHip fracturesMortality

Identifiers

PMID40074889
PMCPMC11903550

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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.