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[Orthogeriatrics: The First multicentre regional register of hip fractures in Castilla y León (Spain)]
Angélica Muñoz-Pascual1, Pilar Sáez-López2, Sonia Jiménez-Mola3
1Sección de Geriatría, Complejo Asistencial de Segovia, Segovia, España.
Insights
This study analyzed 776 elderly hip fracture patients in Spain, finding high complication rates and a 4.6% in-hospital mortality. Hip fracture registers are crucial for improving patient care quality.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- Hip fractures represent a significant health burden in the elderly population.
- Effective management strategies are crucial for improving patient outcomes and reducing healthcare costs.
Purpose of the Study:
- To characterize patients aged 75 and over admitted with hip fractures to public hospitals in Castilla y León.
- To collect data over three distinct periods: November 2014, and October-November 2015.
Main Methods:
- A multicenter, prospective, observational study was conducted.
- Data were collected using a common register established by the Castilla y León orthogeriatrics work group.
- Included clinical, functional, social variables, and in-hospital mortality.
Main Results:
- Data from 776 patients (mean age 86 years) were analyzed.
- Average surgical delay was 4 days, with a mean hospital stay of 10 days.
- 66.5% experienced medical complications, 55.5% required transfusion, and in-hospital mortality was 4.6%.
Conclusions:
- Hip fracture registries are essential for process evaluation and treatment quality improvement.
- This study represents the first multicenter hip fracture register in an elderly Spanish population.
- It serves as a potential model for a future national register.
Objective:
The objective of this study is to describe the characteristics of the patients with hip fracture admitted to the Public Hospitals of Castilla y León during three monthly periods (November 2014, and October and November 2015).
Material And Method:
The Castilla y León orthogeriatrics work group created a common register to collect data on hip fractures. The study included patients 75 years-old and over hospitalised with hip fractures in the 13 public hospitals in the community during November 2014, and October and November 2015. A multicentre, prospective, and observational study was conducted, in which clinical, functional, and social variables, as well as in-hospital mortality, were collected.
Results:
The analysis included data from a total of 776 patients with a mean age of 86 (±6) years. The surgical delay was 4±2.8 days, and the mean hospital stay was 10±4.7 days. The anaesthesia risk was ASA 3±0.6. Around two-thirds (66.5%) of the patients had medical complications while in hospital, and 55.5% required a transfusion. In-hospital mortality was 4.6%. The mean pre-surgical stay was related to the overall stay: P<.001.
Conclusions:
Hip fracture registers are an essential tool for evaluating the process and for improving the treatment quality of these patients. This is the first multicentre register of hip fracture in the elderly created in a Spanish region, and could be a good precedent reference for a future national register.
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