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This was a single-center, observational, prospective cohort study that included patients with a proximal femur fracture. We described patients\u2019 HRQoL measured by EuroQoL (EQ-5D-5L and EQ-VAS) questionnaire and perioperative complications (including mortality) 6\u00a0months after surgery. We included 163 patients with a mean age of 80.5\u00a0years, the majority were women and 76.1% reported falling from their own height. The mean time between hospital admission and surgery was 8.3\u00a0days (SD 4.9\u00a0days) and the mean hospital stay was 13.5\u00a0days (SD 10.4\u00a0days). After adjustment, the principal factor associated with delayed surgery was adjournment in surgery authorization (3.7\u00a0days). EQ-5D-5L index values and the VAS score at 1\u00a0month after surgery were 0.489 and 61.1, at 3\u00a0months were 0.613 and 65.8, and at 6\u00a0months 0.662 and 66.7 respectively. Mortality at 6\u00a0months 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\u00a0months after surgery.<\/jats:p><jats:p><jats:italic>Trial registration:<\/jats:italic>NCT04217642.<\/jats:p>","DOI":"10.1038\/s41598-023-33592-3","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T09:02:45Z","timestamp":1688979765000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Delayed surgery and health related quality of life in patients with proximal femoral fracture"],"prefix":"10.1038","volume":"13","author":[{"given":"Angela Mar\u00eda","family":"Merch\u00e1n-Galvis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Andr\u00e9s","family":"Mu\u00f1oz-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Solano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juli\u00e1n Camilo","family":"Vel\u00e1squez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson Fernando","family":"Sotelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Alejandro","family":"Molina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Pablo","family":"Caicedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Manuel","family":"Concha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Andr\u00e9s","family":"Calvache","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Mart\u00ednez-Zapata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"33592_CR1","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1007\/s00198-016-3484-z","volume":"27","author":"P Burgers","year":"2016","unstructured":"Burgers, P. et al. 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