Delayed surgery and health related quality of life in patients with proximal femoral fracture
Merchán-Galvis, Angela María (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Muñoz-García, David Andrés (Universidad del Cauca)
Solano, Felipe (Universidad del Cauca)
Velásquez, Julián Camilo (Hospital Universitario San José)
Sotelo, Nelson Fernando (Universidad del Cauca)
Molina, David Alejandro (Hospital Universitario San José)
Caicedo, Juan Pablo (Universidad del Cauca)
Concha, Juan Manuel (Universidad del Cauca)
Calvache, José Andrés (Erasmus University Medical Center)
Martinez-Zapata, Mª José (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2023
Abstract:	This study aimed to establish factors associated with delayed surgery in patients with proximal femoral fracture and to assess patients' health-related quality of life (HRQoL) after surgery including all-cause 6-months mortality. This was a single-center, observational, prospective cohort study that included patients with a proximal femur fracture. We described patients' HRQoL measured by EuroQoL (EQ-5D-5L and EQ-VAS) questionnaire and perioperative complications (including mortality) 6 months after surgery. We included 163 patients with a mean age of 80. 5 years, the majority were women and 76. 1% reported falling from their own height. The mean time between hospital admission and surgery was 8. 3 days (SD 4. 9 days) and the mean hospital stay was 13. 5 days (SD 10. 4 days). After adjustment, the principal factor associated with delayed surgery was adjournment in surgery authorization (3. 7 days). EQ-5D-5L index values and the VAS score at 1 month after surgery were 0. 489 and 61. 1, at 3 months were 0. 613 and 65. 8, and at 6 months 0. 662 and 66. 7 respectively. Mortality at 6 months of follow-up was 11% (18 patients). In conclusion, administrative authorization was the strongest associated factor with delayed time from hospital admission to surgery. HRQoL of patients with a proximal femoral fracture improved 6 months after surgery. Trial registration: NCT04217642.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Scientific reports, Vol. 13 Núm. 1 (december 2023) , p. 11131, ISSN 2045-2322

DOI: 10.1038/s41598-023-33592-3
PMID: 37429947

10 p, 1.2 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
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