Spanish National Hip Fracture Registry (RNFC): First-year results and comparison with other registries and prospective multi-centric studies from Spain

Background: The Spanish National Hip Fracture Registry (Registro Nacional de Fracturas de Cadera or RNFC) is a Spanish, prospective, multi- centric registry, commenced in 2017. The goal of this paper is to present the data from the first annual report and to compare them with autonomic registries an...

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Detalles Bibliográficos
Autores: Sáez-López, Pilar, Ojeda-Thies, Cristina, Alarcón Cavero, Teresa, Muñoz Pascual, Ángelica, Mora-Fernández, Jesús, González de Villaumbrosia, Cristina, Molina Hernández, María Jesús, Montero-Fernández, Nuria, Cancio Trujillo, José Manuel, Díez Pérez, Adolfo, Prieto Alhambra, Daniel, Caeiro Rey, José Ramón, Etxebarria Foronda, Íñigo, Gómez Campelo, Paloma, Pareja Sierra, Teresa, Tarazona-Santabalbina, Francisco José, López Giménez, Rosario, Otero Puime, Ángel, Navarro-Castellanos, Laura, Queipo Matas, Rocío, Jiménez Mola, Sonia, López-Peña, Tomás, Cassinello Ogea, Concepción, González Montalvo, Juan Ignacio
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/691296
Acceso en línea:http://hdl.handle.net/10486/691296
Access Level:acceso abierto
Palabra clave:Hip fractures
Osteoporosis
Registries
Elderly
Medicina
Descripción
Sumario:Background: The Spanish National Hip Fracture Registry (Registro Nacional de Fracturas de Cadera or RNFC) is a Spanish, prospective, multi- centric registry, commenced in 2017. The goal of this paper is to present the data from the first annual report and to compare them with autonomic registries and recent prospective multi-centric studies performed in Spain. Methods: We included persons 75 years of age or older treated for fragility hip fractures in any of the centers participating in the RNFC between January and October 2017. The descriptive statistics of each variable used the mean (and standard deviation) or the median (and interquartile ranges) for the ordinal variables and the percentage for the categoric variables. A descriptive analysis of the casemix was performed and compared with available data from the aforementioned studies. Results: The RNFC included 7.208 patients from 54 hospitals, with a mean age of 86.7 (SD 5.6) years; 75.4% were women, and 36.4% showed cognitive decline. Mean surgical delay was 75.7 (SD 63.6) hours, and length of stay averaged 10.9 (SD 6.7) days. Of the patients who lived at home (75.4%), less than half (37.0%) returned home at discharge. One-month mortality was 7.1%. Comparison with other studies showed important differences, especially regarding patients newly sent to nursing homes (7.7-29.4%) and with antiosteoporotic treatment at discharge (14.5-36.7%). Conclusions: The RNFC is the largest prospective database to date that offers data regarding the characteristics of patients hospitalized for hip fractures in Spain. Comparison with recent studies showed some important differences

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