Impacto de la hospitalización en pacientes centenarios ingresados por enfermedad aguda. Descripción de una serie de 165 casos y comparación con la literatura

Sáez-Nieto, Carmen; Ly-Yang, F.; Pérez-Rodríguez, Patricia; Alarcón, T.; López‐Arrieta, Jesús; González-Montalvo, Juan Ignacio

doi:10.1016/j.regg.2019.04.005

Cited by 2 publications

(4 citation statements)

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“…Bone-protective medication was much less likely to be prescribed in older age groups, despite a seven-fold higher incidence of hip fracture in centenarians than in younger patients 2 and despite hip fractures being the most common cause of hospitalization in centenarians. 3 In view of the current evidence, the low rate of primary and secondary fracture prevention in centenarians does not seem justified.…”

Section: Discussionmentioning

confidence: 92%

“… 2 Several studies in Spain and elsewhere have shown that hip fractures are the most common cause of hospital admission in centenarians, ahead of heart failure and pneumonia. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

“…2 Several studies in Spain and elsewhere have shown that hip fractures are the most common cause of hospital admission in centenarians, ahead of heart failure and pneumonia. 3,4 Studies on hip fractures in centenarians are limited in number of patients and show contradictory results. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Differences have been described in relation to the type of fracture, [2][3][4][5][6][7][8] the relationship between time to surgery and outcomes 5 and the risk of complications during hospitalisation.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Studies on hip fractures in centenarians are limited in number of patients and show contradictory results. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Differences have been described in relation to the type of fracture, [2][3][4][5][6][7][8] the relationship between time to surgery and outcomes 5 and the risk of complications during hospitalisation. 9 Discrepancies have also been published regarding short and long-term outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

Boixareu¹,

Ojeda-Thies²,

Valtueña³

et al. 2023

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Objective The primary objective was to describe the clinical characteristics, management, and outcomes of centenarians with fragility hip fracture and compare them to other age groups. The secondary objective was to determine the variables associated with length of stay, in-hospital mortality and 30-day mortality. Materials and Methods This is a secondary analysis of the Spanish National Hip Fracture Registry. We included patients ≥75 years admitted for fragility hip fractures in 86 Spanish hospitals between 2017 and 2019, dividing the sample into four age groups. The variables studied were baseline characteristics, type of fracture, management, length of stay, in-hospital mortality and 30-day mortality. Results We included 25,938 patients (2888 were 75–79 years old; 14,762 octogenarians; 8,035 nonagenarians and 253 centenarians). Of the centenarians, 83% were women, 33% had severe dementia, 9% had severe dependency and 36% lived in residential care homes. Six out of ten had intertrochanteric fracture. Length of hospital stay was 8.6 days; in-hospital mortality was 10.3% and 30-day mortality 20.9%. Older age groups had more women, severe functional dependency, severe dementia, intertrochanteric fracture, living in care facilities and being discharged to nursing care. They had less frequent early mobilization, osteoporosis treatment and discharge to rehabilitation units. In-hospital and 30-day mortality were higher with increasing age. In centenarians, time to surgery >48 hours was independently associated with length of stay (correlation coefficient 3.99 [95% CI: 2.35–5.64; p<0.001]) and anaesthetic risk, based on an ASA score of V, was related to 30-day mortality (ASA score II [OR 0.25, 95% CI: 0.09–0.70; p=0.009] and ASA score III [OR 0.43, 95% CI: 0.19–0.96; p=0.039]). Conclusion Centenarians had different clinical characteristics, management and outcomes. Although centenarians had worse outcomes, nearly 4 out of 5 centenarians were alive one month after surgery.

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Section: Discussionmentioning

confidence: 92%

“… 2 Several studies in Spain and elsewhere have shown that hip fractures are the most common cause of hospital admission in centenarians, ahead of heart failure and pneumonia. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%