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First year report of the IMSS Multicenter Hip Fracture Registry
José Octavio Duarte-Flores1, Joel Alonso Cortez-Sarabia2, Sergio Sánchez-García3
1Geriatric Service of HGZ 83 IMSS, Morelia, Michoacan, Mexico. dr.duarte.geriatra86@gmail.com.
Archives of Osteoporosis
|September 2, 2024
Summary
Mexico
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- The Mexican population is aging, increasing the risk of osteoporosis and hip fractures.
- Hip fracture incidence is high and projected to rise due to demographic shifts.
- International guidelines exist, but local standards of care require evaluation.
Purpose of the Study:
- To describe the current standards of care for hip fractures in Mexican Social Security Institute hospitals.
- To identify gaps in care compared to established clinical guidelines.
Main Methods:
- An observational, multicenter, longitudinal, and descriptive study.
- Involved 24 hospital centers across Mexico.
- Collected data on demographics, management, and 30/120-day follow-up for 1042 patients.
Main Results:
- The study included 1042 patients (70.9% women, mean age 79.5 years).
- Average time from emergency room to surgery was 7.8 days, with only 7.6% meeting the 36-hour goal.
- Acute mortality was 4.3%, with significant loss to follow-up at 30 and 120 days.
Conclusions:
- Current hip fracture care in participating Mexican hospitals does not consistently meet established standards.
- A strategic approach is needed to implement and adhere to standardized care protocols for hip fracture patients.
- Hip fracture registries are crucial for monitoring care quality and driving improvement processes.
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