Guía SECOT-GEIOS en osteoporosis y fractura por fragilidad. Actualización

Etxebarría-Foronda, I.; Caeiro-Rey, José Ramón; Larraínzar-Garijo, Ricardo; Vaquero-Cervino, E.; Roca-Ruiz, L.; Mesa-Ramos, Manuel; Pérez, J. Merino; Carpintero-Benítez, P.; Cebrián, A. Fernández; Gil-Garay, E.

doi:10.1016/j.recot.2015.05.007

Cited by 17 publications

(9 citation statements)

References 114 publications

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“…Despite that the anti-osteoporosis medication is recommended by the main Spanish Traumatology Society guidelines [ 9 ] especially among subjects at high risk of fracture such as those that have already sustained a hip fracture, less than 50% of our subjects were treated at the end of the 4th month after the hip fracture. This percentage might be higher if we add those that were already taking an osteoporosis treatment before the hip fracture.…”

Section: Discussionmentioning

confidence: 99%

“…In this context, improving hip fracture care is becoming increasingly important for health care providers. Fracture patients are often frail and present many previous comorbid conditions [ 7 ]; hence, their management frequently requires long hospital stays and a complex process [ 8 , 9 ]. For this reason, many hospitals have shifted towards a multi-disciplinary team to take care of these patients, which includes several specialities such as orthopaedists, general medicine, anaesthesiologists, rehabilitation, geriatricians, social workers, and primary care practitioners [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

et al. 2018

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SummaryWe have characterised 997 hip fracture patients from a representative 45 Spanish hospitals, and followed them up prospectively for up to 4 months. Despite suboptimal surgical delays (average 59.1 hours), in-hospital mortality was lower than in Northern European cohorts. The secondary fracture prevention gap is unacceptably high at 85%.PurposeTo characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain.MethodsDesign: prospective cohort study. Consecutive sample of patients ≥ 50 years old admitted in a representative 45 hospitals for a hip or proximal femur fragility fracture, from June 2014 to June 2016 and followed up for 4 months post-fracture. Patient characteristics, site of fracture, in-patient care (including secondary fracture prevention) and complications, and 4-month mortality are described.ResultsA total of 997 subjects (765 women) of mean (standard deviation) age 83.6 (8.4) years were included. Previous history of fracture/s (36.9%) and falls (43%) were common, and 10-year FRAX-estimated major and hip fracture risks were 15.2% (9.0%) and 8.5% (7.6%) respectively. Inter-trochanteric (44.6%) and displaced intra-capsular (28.0%) were the most common fracture sites, and fixation with short intramedullary nail (38.6%) with spinal anaesthesia (75.5%) the most common procedures. Surgery and rehabilitation were initiated within a mean 59.1 (56.7) and 61.9 (55.1) hours respectively, and average length of stay was 11.5 (9.3) days. Antithrombotic and antibiotic prophylaxis were given to 99.8% and 98.2% respectively, whilst only 12.4% received secondary fracture prevention at discharge. Common complications included delirium (36.1 %) and kidney failure (14.1%), with in-hospital and 4-month mortality of 2.1% and 11% respectively.ConclusionsDespite suboptimal surgical delay, post-hip fracture mortality is low in Spanish hospitals. The secondary fracture prevention gap is unacceptably high at > 85%, in spite of virtually universal anti-thrombotic and antibiotic prophylaxis.Electronic supplementary materialThe online version of this article (10.1007/s11657-018-0515-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

et al. 2018

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“…Respecto a la elección del fármaco, recomendamos el uso de alguno de los fármacos antirresortivos que hayan demostrado ser eficaces en la prevención secundaria de los diferentes tipos de fracturas osteoporóticas (vertebrales, no vertebrales periféricas y de cadera) 55 . Probablemente, la situación clínica por la que el enfermo acaba de pasar desaconseja el uso del ácido zoledrónico, debido a la reacción de fase aguda que este fármaco con frecuencia determina.…”

Section: Fracturas Por Fragilidad De La Cadera Y Covid-19unclassified

“…En todos los casos, y con independencia del tratamiento elegido, deberían garantizarse los requerimientos diarios de calcio (1.000 y 1.200 mg) y vitamina D (800-1000 UI) recomendados para el paciente anciano, de forma que se garanticen unos niveles sanguíneos de calcio y vitamina D adecuados 55 . Cabe señalar en este sentido que un par de trabajos muy recientemente publicados hablan de la existencia de una relación inversa entre niveles de vitamina D y mortalidad por COVID-19 en todos los países de Europa 56 , 57 .…”

Section: Fracturas Por Fragilidad De La Cadera Y Covid-19unclassified

COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Caeiro-Rey

Ojeda-Thies

Cassinello

et al. 2020

Revista Española de Geriatría y Gerontología

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“…Ambos compartieron la idea de la repercusión que supone para un anciano el padecer una fractura de cadera, la importancia de la recuperación de la función como objetivo principal del tratamiento y la rentabilidad del trabajo conjunto en la búsqueda de dicho objetivo, surgiendo así el concepto de ortogeriatría como forma de mejorar los resultados (Vidán, 2013) Desde el origen de la colaboración geriatríatraumatología en el tratamiento de la fractura de cadera se han desarrollado varios modelos de intervención geriátrica durante las distintas fases de su tratamiento. Aunque diversos estudios concluyen que esta colaboración aporta beneficios sobre el tipo tradicional de tratamiento, no está claro cual de los modelos conlleva mejores resultados (Etxebarria-Foronda, 2015). La intensidad de la intervención en cada uno de ellos ha sido variable y adaptada a las circunstancias locales y a las características de cada hospital, lo cual dificulta su comparación.…”

Section: Discussionunclassified

Análisis De La Dependencia En Población Geriátrica Como Factor Pronóstico Después De Sufrir Factura De Cadera

Alba

Pascuet

Gangoso

et al. 2019

RASP

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ResumenEn España se producen entre 50.000 y 60.000 fracturas de cadera al año. El objetivo de este análisis es evaluar la dependencia para las Actividades Básicas de la Vida diaria como factor pronóstico después de sufrir una fractura de cadera. Se realizó el análisis prospectivo de 428 pacientes ingresados por fractura de cadera entre los años 2015 y 2017. Se evaluó el grado de autonomía mediante el índice de Barthel previo al ingreso, la aparición de complicaciones durante el ingreso y la mortalidad a los 6 meses y al año. Un 43,6% de los pacientes presentaban dependencia grave al ingreso según la escala de Barthel. La mortalidad a los 6 meses de seguimiento fue del 24% de los pacientes y al año del 33,5%. El estudio de regresión logística muestra que sufrir dependencia grave en la escala de Barthel al ingreso es factor de riesgo de muerte a los 6 meses (p = 0,047) y el año (p = 0,043). Por otra parte, no sufrir dependencia es un factor protector de mortalidad a los 6 meses (p = 0,023). AbstractIn Spain there are between 50,000 and 60,000 hip fractures a year. The objective of this analysis is to evaluate the dependency for the Basic Activities of Daily Life as a prognostic factor after suffering a hip fracture. We performed a prospective analysis of 428 patients admitted for hip fracture in our center between 2015 and 2017. The degree of autonomy was assessed using the Barthel index prior to admission, the appearance of complications during admission and mortality. at 6 months and a year. 43.6% of patients had severe dependence on admission according to the Barthel scale. The mortality at 6 months of follow-up was 24% of the patients and the year of 33.5%. The logistic regression study shows that suffering severe dependence on the Barthel scale at admission is a risk factor for death at 6 months (p = 0.047) and the year (p = 0.043). On the other hand, not suffering from dependence is a protective factor of mortality at 6 months (p = 0.023).

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Guía SECOT-GEIOS en osteoporosis y fractura por fragilidad. Actualización

Cited by 17 publications

References 114 publications

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Análisis De La Dependencia En Población Geriátrica Como Factor Pronóstico Después De Sufrir Factura De Cadera

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