[Spanish National Hip Fracture Registry (RNFC): First-year results and comparison with other registries and prospective multi-centric studies from Spain].
[Spanish National Hip Fracture Registry (RNFC): First-year results and comparison with other registries and prospective multi-centric studies from Spain].
复制标题
[西班牙国家髋部骨折登记处 (RNFC)：第一年结果以及与西班牙其他登记处和前瞻性多中心研究的比较]。
DOI：
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发表时间：
2019
影响因子：
1.1
通讯作者：
J. González
中科院分区：
文献类型：
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作者：
P. Sáez;C. Ojeda;T. Alarcón;A. Muñoz Pascual;J. Mora;C. González de Villaumbrosia;M. J. Molina Hernández;N. Montero;José Manuel Cancio Trujillo;A. Diez Perez;Daniel Prieto Alhambra;J. R. Caeiro Rey;Í. Etxebarría Foronda;Paloma Gómez Campelo;T. Pareja Sierra;F. Tarazona;Rosario López;Á. Otero Puime;L. Navarro;Rocío Queipo Matas;Sonia Jiménez Mola;Tomás López;C. Cassinello Ogea;J. González
目标
西班牙国家髋部骨折登记处（Registro Nacional de Fracturas de Cadera 或 RNFC）是西班牙的前瞻性、多中心登记处，于 2017 年启动。本文的目的是展示第一份年度报告的数据，并将其与自主登记处和最近在西班牙进行的前瞻性多中心研究进行比较。
方法
我们纳入了 2017 年 1 月至 10 月期间在参与 RNFC 的任何中心接受脆性髋部骨折治疗的 75 岁或以上的患者。每个变量的描述性统计数据使用序数变量的平均值（和标准差）或中位数（和四分位数范围）以及分类变量的百分比。对病例组合进行描述性分析，并与上述研究的可用数据进行比较。
结果
RNFC 包括来自 54 家医院的 7,208 名患者，平均年龄为 86.7 (SD 5.6) 岁； 75.4% 为女性，36.4% 出现认知能力下降。平均手术延迟为 75.7 (SD 63.6) 小时，平均住院时间为 10.9 (SD 6.7) 天。在家中居住的患者 (75.4%) 中，不到一半 (37.0%) 出院时返回家中。 1个月死亡率为7.1%。与其他研究的比较显示出重要的差异，特别是对于新送到疗养院的患者（7.7-29.4%）和出院时接受抗骨质疏松治疗的患者（14.5-36.7%）。
结论
RNFC 是迄今为止最大的前瞻性数据库，提供有关西班牙因髋部骨折住院患者特征的数据。与最近的研究比较显示出一些重要的差异。
OBJECTIVE
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.