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00925njm 22002777a 4500 dc Prieto-Alhambra, Daniel author Reyes, Carlen author Sanz Sainz, Miguel author Gonzalez-Macias, Jesus author Gracia Delgado, Luis author Alonso Bouzon, Cristina author Mills Ganan, Sarah author Mifsut Miedes, Damian author Vaquero-Cervino, Eduardo author Bravo Bardaji, Manuel Francisco author Ezquerra Herrando, Laura author Branas Baztan, Fatima author Llado Ferrer, Bartolome author Perez-Coto, Ivan author Adrados Bueno, Gaspar author Mora-Fernandez, Jesus author Espallargas Donate, Teresa author Martinez-Iniguez Blasco, Jorge author Aguado-Maestro, Ignacio author Saez-Lopez, Pilar author Salomo Domenech, Monica author Climent-Peris, Vicente author Diez Rodriguez, Angel author Kessel Sardinas, Humberto author Tendero Gomez, Oscar author Teixidor Serra, Jordi author Ramon Caeiro-Rey, Jose author Andres Cano, Ignacio author Barres Carsi, Mariano author Etxebarria-Foronda, Inigo author Aviles Hernandez, Juan Dionisio author Rodriguez Solis, Juan author Torregrosa Suau, Oscar author Nogues, Xavier author Herrera, Antonio author Diez-Perez, Adolfo author 2018-09-14 We 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%. Purpose To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. Methods Design: 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. Results A 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. Conclusions Despite 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. Prieto-Alhambra D, Reyes C, Sanz Sainz M, Gonzalez-Macias J, Gracia Delgado L, Alonso Bouzon C, et al. 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. Arch Osteoporos. 2018 Sep 14;13(1):96. 10.1007/s11657-018-0515-8 1862-3514 1862-3522 Archives of Osteoporosis http://hdl.handle.net/20.500.13003/9129 30218380 L623879413 2-s2.0-85053324207 https://hdl.handle.net/20.500.12105/22616 444700600001 Hip fracture Registries Osteoporosis and patient care management 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