Loading…
Registro nacional de fracturas de cadera (rnfc): Resultados del primer año y comparación con otros registros y estudios multicéntricos españoles
Background: The Spanish National Hip Fracture Registry (Registro Nacional de Fracturas de Cadera or RNFC) is a Spanish, prospective, multi- centric registry, commenced in 2017. The goal of this paper is to present the data from the first annual report and to compare them with autonomic registries an...
Saved in:
Published in: | Revista española de salud pública 2019 (93) |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Article |
Language: | Spanish |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Summary: | Background: The Spanish National Hip
Fracture Registry (Registro Nacional de Fracturas
de Cadera or RNFC) is a Spanish, prospective, multi-
centric registry, commenced in 2017. The goal of
this paper is to present the data from the first annual
report and to compare them with autonomic registries
and recent prospective multi-centric studies
performed in Spain.
Methods: We included persons 75 years or older
treated for fragility hip fractures in any of the
centers participating in the RNFC between January
and October 2017. The descriptive statistics of each
variable used the mean (and standard deviation) or
the median (and interquartile ranges) for the ordinal
variables and the percentage for the categoric variables.
A descriptive analysis of the casemix was performed
and compared with available data from the
aforementioned studies.
Results: The RNFC included 7.208 patients
from 54 hospitals, with a mean age of 86.7 (SD
5.6) years; 75.4% were women, and 36.4% showed
cognitive decline. Mean surgical delay was 75.7
(SD 63.6) hours, and length of stay averaged 10.9
(SD 6.7) days. Of the patients who lived at home
(75.4%), less than half (37.0%) returned home
at discharge. One-month mortality was 7.1%.
Comparison with other studies showed important
differences, especially regarding patients newly
sent to nursing homes (7.7-29.4%) and with antiosteoporotic
treatment at discharge (14.5-36.7%).
Conclusions: The RNFC is the largest prospective
database to date that offers data regarding
the characteristics of patients hospitalized for hip
fractures in Spain. Comparison with recent studies
showed some important differences.
Fundamentos: El Registro Nacional de
Fracturas de Cadera (RNFC) es un registro español
multicéntrico, prospectivo y continuo, que comenzó
en 2017. El objetivo de este artículo fue presentar
los datos del primer informe anual y compararlos
con los registros autonómicos y los estudios
multicéntricos realizados recientemente en España.
Métodos: Se incluyeron las personas de 75
años o más atendidas con el diagnóstico de fractura
de cadera por fragilidad en alguno de los hospitales
participantes en el RNFC, entre enero y octubre de
2017. En el análisis estadístico se utilizó la media y
desviación estándar o mediana y rangos intercuartílicos
para las variables numéricas y los porcentajes
para las variables categóricas. Se realizó un análisis
descriptivo global de la casuística y se comparó
con los datos disponibles de los estudios previos
mencionados. |
---|---|
ISSN: | 1135-5727 |