Fracture Liaison Service for Hip Fractures: Is It A Game Changer?
Isr Med Assoc J
; 23(8): 490-493, 2021 08.
Article
en En
| MEDLINE
| ID: mdl-34392623
ABSTRACT
BACKGROUND:
Osteoporosis is a common medical condition in older ages. A devastating result of osteoporosis may be a hip fracture with up to 30% mortality rate in one year. The compliance rate of osteoporotic medication following a hip fracture is 20% in the western world.OBJECTIVES:
To evaluate the impact of the fracture liaison service (FLS) model in the orthopedic department on patient compliance following hip fracture.METHODS:
We performed a retrospective review of all patients with hip fracture who were involved with FLS. We collected data regarding kidney function, calcium levels, parathyroid hormone levels, and vitamin D levels at admission. We educated the patient and family, started vitamin D and calcium supplementation and recommended osteoporotic medical treatment. We phoned the patient 6-12 weeks following the fracture to ensure treatment initiation.RESULTS:
From June 2018 to June 2019 we identified 166 patients with hip fracture who completed at least one year of follow-up. Over 75% of the patients had low vitamin D levels and 22% had low calcium levels at admission. Nine patients (5%) died at median of 109 days. Following our intervention, 161 patients (96%) were discharged with a specific osteoporotic treatment recommendation; 121 (73%) received medication for osteoporosis on average of < 3 months after surgery. We recommended on injectable medications; however, 51 (42%) were treated with oral biphsophonate.CONCLUSIONS:
FLS improved the compliance rate of osteoporotic medical treatment and should be a clinical routine in every medical center.
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Bases de datos:
MEDLINE
Asunto principal:
Osteoporosis
/
Periodo Posoperatorio
/
Vitamina D
/
Calcio
/
Prevención Secundaria
/
Fracturas Osteoporóticas
/
Fracturas de Cadera
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
Isr Med Assoc J
Año:
2021
Tipo del documento:
Article
País de afiliación:
Israel