Given the demographic transition that Colombian population is experiencing, including a progressive increase in the elderly and a high prevalence of chronic non-communicable diseases, an increase in the incidence of PFF is expected 10. Loss of independence by reducing mobility and functional capacity persists months after the diagnosis, with a significant decrease in health-related quality of life (HRQoL) 6, 7, 8, 9. Besides, PFF also affects mental health which is an important determinant of mortality risk 4, 5. Those who suffer hip fracture usually have significant functional deterioration and approximately 8% of them reach prostration, especially when the surgical procedure is delayed 3. Furthermore, it is a disease with high costs for the health system 1, 2. Proximal femoral fracture (PFF) is an important cause of morbidity, disability, and mortality in the elderly. HRQoL of patients with a proximal femoral fracture improved 6 months after surgery. In conclusion, administrative authorization was the strongest associated factor with delayed time from hospital admission to surgery. Mortality at 6 months of follow-up was 11% (18 patients). 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. After adjustment, the principal factor associated with delayed surgery was adjournment in surgery authorization (3.7 days). 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). 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. We described patients’ HRQoL measured by EuroQoL (EQ-5D-5L and EQ-VAS) questionnaire and perioperative complications (including mortality) 6 months after surgery. This was a single-center, observational, prospective cohort study that included patients with a proximal femur fracture. 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.
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