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Romero Pisonero E, Sáez-López P, González Montalvo JI, Cancio Trujillo JM, Rodríguez González MC, Martínez Almazán E. [Functional recovery units state in orthogeriatrics according to data from the National Registry of Hip Fracture]. Rev Esp Geriatr Gerontol 2023; 58:101375. [PMID: 37328306 DOI: 10.1016/j.regg.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 05/05/2023] [Accepted: 05/09/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION The National Registry of Hip Fractures (RNFC) facilitates knowledge of hip fracture process in Spain to clinicians and managers and is useful to the reduction of the results variability, including the destination at discharge after the hip fracture. OBJECTIVE The aim of this study was to describe functional recovery units (URFs) use for patients with hip fracture included in the RNFC and to compare the results of the different autonomous communities (AC). MATERIAL AND METHODS An observational, prospective and multicenter study of several hospitals in Spain. Data from a RNFC cohort of patients admitted with hip fracture between 2017 and 2022 were analyzed, focusing on the location at discharge of the patients, specifically on transfer to the URF. RESULTS 52,215 patients from 105 hospitals were analyzed, 9540 patients (18.1%) were transferred to URF upon discharge and 4595 (8.8%) remained in these units 30 days later, with a variable distribution between the different AC (0-49%) and variability of results in patients not recovering ambulation at 30 days (12.2-41.9%). CONCLUSIONS There is in orthogeriatric patient an unequal availability and use of URFs between different autonomous communities. The study of the usefulness of this resource can be of great value for decision-making in health policies.
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Affiliation(s)
- Elena Romero Pisonero
- Sección de Geriatría, Hospital La Fuenfría, Cercedilla, Madrid, España; Coordinadora del Grupo de Trabajo de Atención Intermedia de la Sociedad Española de Geriatría y Gerontología (SEGG).
| | - Pilar Sáez-López
- Servicio de Geriatría, Hospital Universitario Fundación Alcorcón, Madrid, España; Coordinadora del Registro Nacional de Fracturas de Cadera (RNFC); Instituto de Investigación IdiPaz, Hospital Universitario La Paz, Madrid, España
| | - Juan Ignacio González Montalvo
- Servicio de Geriatría, Hospital Universitario La Paz, Madrid, España; Instituto de Investigación IdiPaz, Hospital Universitario La Paz, Madrid, España
| | - José Manuel Cancio Trujillo
- Servicio de Geriatría y Cuidados Paliativos, Centro Sociosanitario El Carme (Badalona Servicios Asistenciales), Badalona, Barcelona, España
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Velarde-Mayol C, de la Hoz-García B, Angulo-Sevilla D, Torres-Barriga C. [Health consequences (mortality and institutionalization) of hip fracture among the elderly people: Population cohort study in Segovia]. Aten Primaria 2021; 53:102129. [PMID: 34157660 PMCID: PMC8220413 DOI: 10.1016/j.aprim.2021.102129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 04/23/2021] [Accepted: 04/25/2021] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE In order to know the social and health consequences of hip fractures (HF). DESIGN A retrospective cohort study of an entire health area was carried out in patients aged 75 or more, over a period of 5 years. SITE: Segovia Health Area. PARTICIPANTS All patients older than 75 years with a diagnosis of HF, excluding displaced and passerby. INTERVENTIONS The socio-sanitary changes that occur after the HF in respect to their baseline situation (family situation, comorbidities, dependence and mental situation) and the variables which most influence mortality and institutionalization after the HF were analyzed. MAIN MEASUREMENTS One thousand one hundred fifty-nine HF were recorded, with a constant annual incidence of 10.7‰. The prevalence was higher in women: 7.4% versus 3.7%. RESULTS The baseline profile is a pluripatological, non-institutionalized, 87-year-old woman, who retains her independent in her daily life and suffers from a HF due to an accidental fall in her home. At the end of the study period 51% were permanently institutionalized, negatively influencing having worse mental deterioration, worse dependence and subsequent readmissions and in addition, 45.5% died, 25.5% during the first year. The most unfavorable conditions were being previously dependent, having severe mental deterioration, male and within the comorbidities the most influential was previously having an anemia. CONCLUSIONS Our data confirms the deterioration of the autonomy-functional capacity after a HF, in line with what has been published, and has allowed to identify which elderly people are at the greatest risk of complications in the short and medium term (institutionalization and death).
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Affiliation(s)
| | | | - David Angulo-Sevilla
- Medicina de Familia y Comunitaria, Centro de Salud Segovia 1 y Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Segovia, Segovia, España
| | - Corina Torres-Barriga
- Medicina de Familia y Comunitaria, Centro de Salud Segovia 1 y Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Segovia, Segovia, España
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González de Villaumbrosia C, Sáez López P, Martín de Diego I, Lancho Martín C, Cuesta Santa Teresa M, Alarcón T, Ojeda Thies C, Queipo Matas R, González-Montalvo JI. Predictive Model of Gait Recovery at One Month after Hip Fracture from a National Cohort of 25,607 Patients: The Hip Fracture Prognosis (HF-Prognosis) Tool. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073809. [PMID: 33917348 PMCID: PMC8038738 DOI: 10.3390/ijerph18073809] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 03/25/2021] [Accepted: 03/26/2021] [Indexed: 12/20/2022]
Abstract
The aim of this study was to develop a predictive model of gait recovery after hip fracture. Data was obtained from a sample of 25,607 patients included in the Spanish National Hip Fracture Registry from 2017 to 2019. The primary outcome was recovery of the baseline level of ambulatory capacity. A logistic regression model was developed using 40% of the sample and the model was validated in the remaining 60% of the sample. The predictors introduced in the model were: age, prefracture gait independence, cognitive impairment, anesthetic risk, fracture type, operative delay, early postoperative mobilization, weight bearing, presence of pressure ulcers and destination at discharge. Five groups of patients or clusters were identified by their predicted probability of recovery, including the most common features of each. A probability threshold of 0.706 in the training set led to an accuracy of the model of 0.64 in the validation set. We present an acceptably accurate predictive model of gait recovery after hip fracture based on the patients’ individual characteristics. This model could aid clinicians to better target programs and interventions in this population.
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Affiliation(s)
| | - Pilar Sáez López
- Hospital Universitario Fundación Alcorcón, Instituto de Investigación Hospital Universitario La Paz, 28046 Madrid, Spain;
| | - Isaac Martín de Diego
- Data Science Lab, Universidad Rey Juan Carlos, 28933 Móstoles, Spain; (I.M.d.D.); (C.L.M.); (M.C.S.T.)
| | - Carmen Lancho Martín
- Data Science Lab, Universidad Rey Juan Carlos, 28933 Móstoles, Spain; (I.M.d.D.); (C.L.M.); (M.C.S.T.)
| | | | - Teresa Alarcón
- Hospital Universitario La Paz, Instituto de Investigación Hospital Universitario La Paz, 28046 Madrid, Spain; (T.A.); (J.I.G.-M.)
| | | | | | - Juan Ignacio González-Montalvo
- Hospital Universitario La Paz, Instituto de Investigación Hospital Universitario La Paz, 28046 Madrid, Spain; (T.A.); (J.I.G.-M.)
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Castillón P, Nuñez JH, Mori-Gamarra F, Ojeda-Thies C, Sáez-López P, Salvador J, Anglés F, González-Montalvo JI. Hip fractures in Spain: are we on the right track? Statistically significant differences in hip fracture management between Autonomous Communities in Spain. Arch Osteoporos 2021; 16:40. [PMID: 33624180 DOI: 10.1007/s11657-021-00906-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 02/02/2021] [Indexed: 02/03/2023]
Abstract
UNLABELLED Although medicine is currently protocol-based, there are still differences in the management of the hip fracture in Spain, especially regarding surgical delay, type of anesthesia, early mobilization, and discharge destinations. This data will be of great value to assist stakeholders in formulating health policies. PURPOSE Analysis of demographic, clinical, surgical, and functional data of the Spanish National Hip Fracture National Registry (RNFC), during admission and at 1-month follow-up, by Autonomous Communities (ACs). METHODS Cross-sectional analysis in the framework of a RNFC cohort, from January 2017 to May 2018, including 15 ACs from Spain, with 1 month of follow-up. Sociodemographic, clinical, surgical, and outcome variables were analyzed. RESULTS In total, 13,839 patients were analyzed. There were significant differences (p <0.001) in median surgical delay and percentage of patients operated in less than 48 h. Mean surgical delay was 70.75 h, with a 12-h difference between the Communities of Madrid (71.22) and Catalonia (59.65). Only 43% of patients had less than 48-h delay. Overall, most patients received regional anesthesia (91.9%); however, there was a significant difference between ACs (p = 0.0001). There were also differences in inpatient stay, early mobilization, discharge destination, and mortality (p <0.001). Mortality 30 days after surgery was 7.8%, and highest in the Basque Country (12.5%). CONCLUSIONS The registry showed homogeneity among ACs regarding sociodemographic variables, fracture type, surgical treatment, ASA risk, and co-management with a geriatrician or an integrated internist. There were significant differences in hip fracture management between ACs in Spain, especially regarding surgical delay, type of anesthesia, early mobilization, and discharge destinations.
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Affiliation(s)
- Pablo Castillón
- Department of Traumatology and Orthopaedic Surgery, University Hospital of Mutua Terrasa, Plaça del Doctor Robert, 5, 08221, Terrassa, Barcelona, Spain
| | - Jorge H Nuñez
- Department of Traumatology and Orthopaedic Surgery, University Hospital of Mutua Terrasa, Plaça del Doctor Robert, 5, 08221, Terrassa, Barcelona, Spain. .,Department of Traumatology and Orthopaedic Surgery, University Hospital of Vall d' Hebron, Passeig de la Vall d'Hebron, 119, 08035, Barcelona, Spain.
| | - Fatima Mori-Gamarra
- Complexo Hospitalario Universitario de Ourense, Calle Ramón Puga Noguerol, 54, 32005, Ourense, Spain
| | - Cristina Ojeda-Thies
- Department of Traumatology and Orthopaedic Surgery, University Hospital of 12 de Octubre, Av. Córdoba s/n, 28041, Madrid, Spain
| | - Pilar Sáez-López
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain.,Hospital Universitario Fundación Alcorcón, Madrid, Spain.,Spanish National Hip Fracture Registry, Madrid, Spain
| | - Jordi Salvador
- Department of Traumatology and Orthopaedic Surgery, University Hospital of Mutua Terrasa, Plaça del Doctor Robert, 5, 08221, Terrassa, Barcelona, Spain
| | - Francesc Anglés
- Department of Traumatology and Orthopaedic Surgery, University Hospital of Mutua Terrasa, Plaça del Doctor Robert, 5, 08221, Terrassa, Barcelona, Spain.,Departament de Cirurgia Universitat de Barcelona, Barcelona, Spain
| | - Juan Ignacio González-Montalvo
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain.,Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain
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Gómez Navarro R, Sanz-Rosa D, Valdearcos Enguídanos S, Thuissard IJ, Martín Hernández C. [Mortality in a cohort of men with fragility hip fracture in a health area: Associated factors]. Semergen 2019; 45:458-466. [PMID: 31399387 DOI: 10.1016/j.semerg.2019.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Revised: 01/24/2019] [Accepted: 04/07/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND A quarter of the patients with fragility hip fracture (FHF) are men, and they have higher mortality rates than women. The objective of this study is to analyse the mortality, as well as associated factors, due to FHF in men aged ≥65years, while in hospital and at one and three years of follow-up. MATERIAL AND METHODS An analytical observational study was conducted on a historical cohort of 182 male patients equal or older than 65 years that were admitted to an Orthopaedic Surgery and Traumatology (OST) Department between January 2009 and December 2014. RESULTS Within-hospital mortality was 10.9% (6% in the OST Department, and 8.6% in a Social-Health centre). A relationship (P=.039) was found between within-hospital mortality and age. A total of 20 patients died during their stay in both units, 42 (25.9%) died one year later, and 95 (58.6%) died three years later. Dementia/cognitive impairment was associated with a relative risk of one-year mortality of 2.2, and 1.6 of three-year mortality. An association was observed between age and mortality and between Barthel Index at baseline and mortality at both periods. The most frequent causes of death were cardiovascular (15.7%) and tumours (13.6%). CONCLUSIONS Male patients with FHF showed high mortality rates in hospital, and at one-year and three-years follow-up. The most important risk factor of mortality was dementia/cognitive deterioration at one year, and high blood pressure at three years.
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Affiliation(s)
| | - D Sanz-Rosa
- Escuela de Doctorado e Investigación, Facultad de Ciencias Biomédicas y Salud, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, España
| | | | - I J Thuissard
- Escuela de Doctorado e Investigación, Facultad de Ciencias Biomédicas y Salud, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, España
| | - C Martín Hernández
- Instituto de Investigación Sanitaria de Aragón, Hospital Universitario Miguel Servet, Zaragoza, España
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Ojeda-Thies C, Sáez-López P, Currie CT, Tarazona-Santalbina FJ, Alarcón T, Muñoz-Pascual A, Pareja T, Gómez-Campelo P, Montero-Fernández N, Mora-Fernández J, Larrainzar-Garijo R, Gil-Garay E, Etxebarría-Foronda I, Caeiro JR, Díez-Pérez A, Prieto-Alhambra D, Navarro-Castellanos L, Otero-Puime A, González-Montalvo JI. Spanish National Hip Fracture Registry (RNFC): analysis of its first annual report and international comparison with other established registries. Osteoporos Int 2019; 30:1243-1254. [PMID: 30904929 DOI: 10.1007/s00198-019-04939-2] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 03/11/2019] [Indexed: 01/28/2023]
Abstract
UNLABELLED Hip fracture registries have helped improve quality of care and reduce variability, and several audits exist worldwide. The results of the Spanish National Hip Fracture Registry are presented and compared with 13 other national registries, highlighting similarities and differences to define areas of improvement, particularly surgical delay and early mobilization. INTRODUCTION Hip fracture audits have been useful for monitoring current practice and defining areas in need of improvement. Most established registries are from Northern Europe. We present the results from the first annual report of the Spanish Hip Fracture Registry (RNFC) and compare them with other publically available audit reports. METHOD Comparison of the results from Spain with the most recent reports from another ten established hip fracture registries highlights the differences in audit characteristics, casemix, management, and outcomes. RESULTS Of the patients treated in 54 hospitals, 7.208 were included in the registry between January and October 2017. Compared with other registries, the RNFC included patients ≥ 75 years old; in general, they were older, more likely to be female, had a worse prefracture ambulation status, and were more likely to have extracapsular fractures. A larger proportion was treated with intramedullary nails than in other countries, and spinal anesthesia was most commonly used. With a mean of 75.7 h, Spain had by far the longest surgical delay, and the lowest proportion of patients mobilized on the first postoperative day (58.5%). Consequently, development of pressure ulcers was high, but length of stay, mortality, and discharge to home remained in the range of other audits. CONCLUSIONS National hip fracture registries have proved effective in changing clinical practice and our understanding of patients with this condition. Such registries tend to be based on an internationally recognized common dataset which would make comparisons between national registries possible, but variations such as age inclusion criteria and follow-up are becoming evident across the world. This variation should be avoided if we are to maximize the comparability of registry results and help different countries learn from each other's practice. The results reported in the Spanish RNFC, compared with those of other countries, highlight the differences between countries and detect areas of improvement, particularly surgical delay and early mobilization.
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Affiliation(s)
- C Ojeda-Thies
- Department of Traumatology and Orthopaedic Surgery, Hospital Universitari 12 de Octubre, Avda. Córdoba s/n, 28041, Madrid, Spain.
| | - P Sáez-López
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Hospital Universitario Fundación Alcorcón, Madrid, Spain
- Head Coordinator of the Spanish National Hip Fracture Registry, Madrid, Spain
| | - C T Currie
- Fragility Fracture Network Hip Fracture Audit Special Interest Group, Zurich, Switzerland
| | - F J Tarazona-Santalbina
- Hospital Universitario de La Ribera, Alzira, Valencia, Spain
- Hamad Medical Corporation, Doha, Qatar
| | - T Alarcón
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Hospital Universitario La Paz, Madrid, Spain
| | | | - T Pareja
- Hospital Universitario de Guadalajara, Guadalajara, Spain
| | - P Gómez-Campelo
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Centro de Ciencias de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, Spain
| | - N Montero-Fernández
- Hospital General Universitario Gregorio Marañón, Madrid, Spain
- Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - J Mora-Fernández
- Hospital Clínico Universitario San Carlos, IdISSC, Madrid, Spain
| | - R Larrainzar-Garijo
- Facultad Medicina Universidad Complutense de Madrid, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - E Gil-Garay
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Hospital Universitario La Paz, Madrid, Spain
| | | | - J R Caeiro
- Complejo Hospitalario Universitario de Santiago, Universidad de Santiago de Compostela, Santiago De Compostela, A Coruña, Spain
| | - A Díez-Pérez
- Hospital del Mar y Universidad Autónoma de Barcelona. CIBER de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto Carlos III, Madrid, Spain
| | - D Prieto-Alhambra
- NDORMS, Grupo de Investigación GREMPAL, Idiap Jordi Gol y CIBERFes, University of Oxford, Oxford, UK
- Universitat Autònoma de Barcelona e Instituto de Salud Carlos III, Barcelona, Spain
| | | | - A Otero-Puime
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Madrid, Spain
| | - J I González-Montalvo
- Instituto de Investigación del Hospital La Paz, IdiPAZ, Madrid, Spain
- Hospital Universitario La Paz, Madrid, Spain
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Molina Hernández MJ, González de Villaumbrosia C, Martín de Francisco de Murga E, Alarcón Alarcón T, Montero-Fernández N, Illán J, Bielza R, Mora-Fernández J. [Multi-centre register study of hip fractures in Orthogeriatric Units in the Community of Madrid (Spain)]. Rev Esp Geriatr Gerontol 2018; 54:5-11. [PMID: 30131189 DOI: 10.1016/j.regg.2018.07.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 07/12/2018] [Accepted: 07/25/2018] [Indexed: 12/21/2022]
Abstract
OBJECTIVE To describe the characteristics of patients with hip fractures admitted over a period of two years (from January 2015 to December 2016) in eight Orthogeriatric Units in public hospitals of the Community of Madrid. MATERIAL AND METHOD This is a descriptive, prospective and multi-centre study. In 2014, all hospitals in Madrid providing joint Geriatric and Traumatology assistance were invited to a recently created orthogeriatric work group. Geriatricians in charge of the Orthogeriatric Unit from eight hospitals took part in this study. The participants established a database including all variables that influenced health outcomes (socio-demographic and clinical variables). RESULTS The study includes 3,995 patients, with a mean age of 85.3years (range: 58-108years old). Two-thirds of them were ASA (American Society Physical Status Classification System) III-IV. Almost all (96.7%) of the patients underwent a surgical operation, and 35.9% of them were operated during the first 48hours. The delay was mainly due to logistic problems (43.5%). The mean hospital stay was 11.2days. Just over half (53.1%) of the patients required a blood transfusion. In-hospital mortality was 5.3%. DISCUSSION Hip fracture registries are essential tools to monitor the healthcare process of these patients, as well as to improve the quality of care. Our results are similar to other records. It would be necessary to improve pre-operative time, which must be less than 48hours in patients without clinical instability. We also need more resources for functional recovery and more uniformity.
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Affiliation(s)
| | | | | | | | - Nuria Montero-Fernández
- Servicio de Geriatría, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital Universitario Gregorio Marañón, Madrid, España
| | - Julia Illán
- Hospital Universitario de Getafe, Getafe, Madrid, España
| | - Rafael Bielza
- Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España
| | - Jesús Mora-Fernández
- Servicio de Geriatría, IdISSC, Hospital Universitario Clínico San Carlos, Madrid, España.
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Sáez-López P, González-Montalvo JI, Ojeda-Thies C, Mora-Fernández J, Muñoz-Pascual A, Cancio JM, Tarazona FJ, Pareja T, Gómez-Campelo P, Montero-Fernández N, Alarcón T, Mesa-Lampre P, Larrainzar-Gar R, Duaso E, Gil-Garay E, Diéz-Pérez A, Prieto-Alhambra D, Queipo-Matas R, Otero-Puime A. Spanish National Hip Fracture Registry (SNHFR): a description of its objectives, methodology and implementation. Rev Esp Geriatr Gerontol 2018; 53:188-195. [PMID: 29426794 DOI: 10.1016/j.regg.2017.12.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Accepted: 12/04/2017] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To ascertain the current situation and clinical variability of the provision of care for Hip Fracture (HF) in Spain and the factors related to it by using a National Registry (NHFR) with high patient numbers and territorial representation NHFR, and to compare results on a national and international level and propose standards and criteria to improve healthcare quality. DESIGN Continuous registry for at least three years of a representative sample of patients admitted to Spanish hospitals due to HF using the Minimum Common Dataset - international Fragility Fracture Network (FFN) MCD, adapted for Spanish. STUDY SCOPE AND SUBJECTS: all patients over the age of 74 years who are hospitalized with a diagnosis of a fragility HF at the participating hospitals distributed throughout the Spanish territory. Initially 48 hospitals are included, and we expect to incorporate the highest number of sites possible. RESULTS It is expected to ascertain the current situation of provision of care for HF in Spain. Each hospital will be offered information regarding their results and their situation compared to the rest. The results from national hospitals will be compared to others included in the registry and to hospitals abroad, which use the same database. Variability will be studied, care standards will be established, and objectives will be proposed for the continuous improvement of the care process of this condition.
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Affiliation(s)
- P Sáez-López
- Hospital Universitario Fundación Jiménez Díaz, Madrid; Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid
| | - J I González-Montalvo
- Hospital Universitario La Paz, Madrid; Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid.
| | | | | | | | | | | | - T Pareja
- Hospital Universitario de Guadalajara, Guadalajara
| | - P Gómez-Campelo
- Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid
| | | | - T Alarcón
- Hospital Universitario La Paz, Madrid; Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid
| | | | - R Larrainzar-Gar
- Hospital Universitario Infanta Leonor. Facultad Medicina Universidad Complutense de Madrid, Madrid
| | - E Duaso
- Hospital de Igualada, Barcelona
| | - E Gil-Garay
- Hospital Universitario La Paz, Madrid; Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid
| | - A Diéz-Pérez
- Hospital del Mar. Barcelona. CIBER de Fragilidad y Envejecimiento Saludable, Instituto Carlos III
| | - D Prieto-Alhambra
- G Associate Professor & NIHR Clinician Scientist. NDORMS, University of Oxford. Grupo de Investigación GREMPAL, Idiap Jordi Gol y CIBERFes; Universitat Autònoma de Barcelona e Instituto de Salud Carlos III, Barcelona
| | - R Queipo-Matas
- Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid; Departamento de Farmacia y Biotecnología. Facultad de Medicina. Universidad Europea de Madrid
| | - A Otero-Puime
- Instituto de Investigación del Hospital La Paz. IdiPAZ, Madrid; Departamento de Medicina Preventiva y Salud Pública. Universidad Autónoma de Madrid, Madrid
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