Evidence map›Paper›PMID 40105545›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2025

Functional decline in nonagenarians admitted for hip fracture.

Sonia Jiménez-Mola, María Plaza-Carmona, Francisco Javier Idoate Gil, Pilar Sáez-López, Paula Fernández García, Jesús Seco-Calvo

Registry-linked trialAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07372092 (Surgical Geriatrics o Geriatric Surgery? Outcomes in a Novel Hospital Model of Attention. A Comparative Cohort Study.), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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.

NCT07372092 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surgical Geriatrics o Geriatric Surgery? Outcomes in a Novel Hospital Model of Attention. A Comparative Cohort Study.

TypeobservationalSponsorHospital Departamental de VillavicencioRan2026 to 2027Enrolled150ConditionsOperative Surgical Procedures, Aged, Aged 65 Years or Older, GeriatricArmsHip fractures
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sonia Jiménez-MolaUniversity Health Care Complex of León - León, Spain.ORCID http://orcid.org/0000-0001-6166-4378
María Plaza-CarmonaUniversity Health Care Complex of León, Universidad Internacional de la Rioja - León, Spain.ORCID http://orcid.org/0000-0001-6886-7215
Francisco Javier Idoate GilUniversity Health Care Complex of León, Geriatrics Service - León, Spain.ORCID http://orcid.org/0009-0006-7608-154X
Pilar Sáez-LópezUniversity Hospital Fundación Alcorcón - Alcorcón, Spain.ORCID http://orcid.org/0000-0002-9467-7746
Paula Fernández GarcíaUniversity Health Care Complex of León - León, Spain.ORCID http://orcid.org/0000-0003-3654-9655
Jesús Seco-CalvoUniversity of León, Institute of Biomedicine - León, Spain.ORCID http://orcid.org/0000-0002-7818-9777

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the characteristics of nonagenarian patients admitted for hip fracture and assess whether they present differences in complications and functional outcomes at discharge compared to younger patients.

methodsProspective longitudinal study in patients over 75 years of age admitted for hip fracture over a 1-year period. A total of 542 patients were included, of which 165 patients were aged over 90 years (30.9%). Demographic variables, pre-fracture functional status, medical history, type of fracture, functional evolution, discharge destination, and mortality were collected. Differences between the two population groups were analyzed.

resultsOf the 542 patients over 75 years admitted for hip fracture, 165 were aged over 90 years (30.9%), 74.5% were women, 62% were independently ambulatory prior to the fracture, and 70% had a Barthel Index score >60. Cognitive impairment was absent in 49% of cases. Surgical treatment was performed in 91.5% of cases. There were no differences in the baseline status when compared to younger patients (aged 75-89 years) except for a higher likelihood of residing in a nursing home (OR 1.74; CI 1.18-2.55). Nonagenarian patients were at higher risk of not being able to walk at discharge (OR 2.00; CI 1.29-3.10). Discharge to a nursing home or functional recovery unit was more likely (OR 1.85; CI 1.22-2.81).

conclusionPatients over 90 years of age are more susceptible to worsening their function during admission and have a higher risk of not being able to walk at discharge. Efforts should be made to reverse this decline in order to reduce the associated mortality.

Indexed as

Hip FracturesActivities of Daily LivingAgedAged, 80 and overAge FactorsFemaleFunctional StatusHospitalizationHumansLongitudinal StudiesMalePatient DischargeProspective StudiesRecovery of FunctionRisk Factors

Identifiers

PMID40105545
PMCPMC11918841

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Registered trials

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