[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries.
Level 3 - non-randomized controlled study
Systematic review and meta-analysis of observational registry/cohort studies
PubMed 39978756 · doi:10.1016/j.recot.2025.02.010
What was done
Systematic review and meta-analysis of published registry data on hip fractures in Spain over the last 10 years. The authors analyzed study and patient characteristics, fracture types, surgical timing, length of hospital stay, postoperative complications, and mortality.
What was found
Across 55,680 patients (mean age 84.6 years, 75% female): - 58% had extracapsular fractures; 3% received conservative management. - Mean surgical delay was 64.7 hours, with 18% operated on within 24 hours and 40% within 48 hours. - Mean length of hospital stay was 10.7 days. - Delirium was the most common complication (42%); mean transfusion rate was 36%. - Mean in-hospital, 1-month, and 1-year mortality rates were 4%, 5%, and 18%, respectively.
Why it matters
Demonstrates a substantial gap between clinical practice guidelines and real-world care in Spain, where fewer than half of hip fracture patients receive surgery within 48 hours.
Limits
The abstract does not state the number of included registries, search sources, or heterogeneity between studies. Findings are based entirely on observational registry data without control comparisons.
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