title: [Geriatric intervention in elderly hip fracture patients admitted to University Hospital of Guadalajara: Clincal, healthcare and economical repercussions].
abstract: OBJECTIVE
  To evaluate the healthcare outcomes and economic impact of geriatric intervention in patients over 75 years old with hip fracture in acute phase.
  
  
  METHODS
  Retrospective study of patients admitted to the University Hospital of Guadalajara (HUGU) due to hip fracture. An analysis was made of the number of cases per year, preoperative period, hospital stay, and mortality of all the patients over 75 years admitted to the HUGU due to hip fracture between 2002 and 2013.
  
  
  RESULTS
  A total of 2942 patients were included. Comparing the activity of 2013 to that of 2006, the mean hospital stay fell from 18.5 to 11.2 days (-39.2%), and mortality from 8.9% to 6.8% (-23%). In contrast, the mean preoperative stay remained at a mean of 2.7 days versus 2.4 in previous years in the early post-intervention period. Hospital stay decreased, despite a progressive annual increase in the daily cost of hospitalisation due to hip fracture surgery, the reduced stay led to a reduction of the total cost by more than 900,000 euros each year. Geriatric intervention has gradually reduced mean hospital stay and mortality, although with a tendency to increase mean preoperative stay.
  
  
  CONCLUSIONS
  Geriatric intervention in patients with hip fracture reduces mortality and length of hospital stay, and decreasing costs.
authors.affiliation: Sección de Geriatría, Hospital Universitario de SESCAM, Guadalajara, España. Electronic address: tpareja@sescam.jccm.es.
authors.forename: Teresa
authors.initials: T
authors.lastname: Pareja Sierra
authors.affiliation: Sección de Geriatría, Hospital Universitario de SESCAM, Guadalajara, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Rodríguez Solis
authors.affiliation: Servicio de Admisión, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Patricia
authors.initials: P
authors.lastname: Alonso Fernández
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de SESCAM, Guadalajara, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Torralba González de Suso
authors.affiliation: Sección de Geriatría, Facultad de Medicina, Universidad de Alcalá, Madrid, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Hornillos Calvo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005853:Geriatrics; D006620:Hip Fractures / Q000191:economics / Q000453:epidemiology / Q000601:surgery*; D006760:Hospitalization; D006801:Humans; D008297:Male; D010343:Patient Admission; D012189:Retrospective Studies
keywords: Anciano; Elderly; Fractura de cadera; Geriatric intervention; Hip fracture; Intervención geriátrica