TY  - JOUR
PY  - 2021//
TI  - Differences in the baseline characteristics, management and outcomes of patients with hip fractures depending on their pre-fracture place of residence: the Spanish National Hip Fracture Registry (RNFC) cohort
JO  - European geriatric medicine
A1  - Ríos-Germán, Peggy P.
A1  - Gutierrez-Misis, Alicia
A1  - Queipo, Rocío
A1  - Ojeda-Thies, Cristina
A1  - Sáez-López, Pilar
A1  - Alarcón, Teresa
A1  - Puime, Angel Otero
A1  - Gómez-Campelo, Paloma
A1  - Navarro-Castellanos, Laura
A1  - González-Montalvo, Juan Ignacio
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: One in four hip fracture patients comes from an aged care facility. This study aimed to compare the characteristics of these subjects with their community-dwelling counterparts at baseline, during hospitalization and 1-month post-fracture. <br><br>METHODS: We analyzed data from a cohort of older adults admitted with hip fractures to 75 Spanish hospitals, collected prospectively in the Spanish National Hip Fracture Registry between 2016 and 2018. We classified participants according to pre-fracture residence: community dwellers vs. aged care facilities residents. We collected demographic records at baseline, along with variables relating to in-hospital evolution and discharge to geriatric rehabilitation units. Patients or relatives were interviewed at 1-month follow-up. <br><br>RESULTS: Out of 18,262 patients, 4,422 (24.2%) lived in aged care facilities. Aged care facilities residents were older (median age: 89 vs. 86 years), less mobile (inability to walk independently: 20.8% vs. 9.4%) and had more cognitive impairment (Pfeiffer's SPMSQ > 3, 75.3% vs. 34.8%). They were more likely to receive conservative treatment (5.4% vs. 2.0%) and less likely to be mobilized early (58.2% vs. 63.0%). At discharge, they received less vitamin D supplements (68.5% vs. 72.4%), less anti-osteoporotic medication (29.3% vs. 44.3%), and were referred to geriatric rehabilitation units less frequently (5.4% vs. 27.5%). One-month post-fracture, 45% of aged care facilities residents compared to 28% of community dwellers experienced a severe gait decline. Aged care facilities residents had a higher one-month mortality (10.6% vs. 6.8%). <br><br>CONCLUSION: Hip fracture patients from aged care facilities are more vulnerable than their community-dwelling peers and are managed differently both during hospitalization and at discharge. Gait decline is disproportionately higher among those admitted from aged care.<p />  <p>Language: en</p>
LA  - en
SN  - 1878-7649
UR  - http://dx.doi.org/10.1007/s41999-021-00503-6
ID  - ref1
ER  -