Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study
Introduction: To improve the patient's care with fragility hip fracture the association of orthogeriatric units with Fracture Liaison Service (FLS) units has been proposed as the one that more improves this function. The objective of our work is to assess the effectiveness of our care model. Ma...
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Elsevier
2025-04-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24002352 |
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| author | José S. Barreda-Puchades Joan Andreu-Safont Sara Linares-Aguayo Rafael Ortiz-Ramón Marta Ribelles-Férez Alberto García-Roig Pablo Cañete-Sanpastor |
| author_facet | José S. Barreda-Puchades Joan Andreu-Safont Sara Linares-Aguayo Rafael Ortiz-Ramón Marta Ribelles-Férez Alberto García-Roig Pablo Cañete-Sanpastor |
| author_sort | José S. Barreda-Puchades |
| collection | DOAJ |
| description | Introduction: To improve the patient's care with fragility hip fracture the association of orthogeriatric units with Fracture Liaison Service (FLS) units has been proposed as the one that more improves this function. The objective of our work is to assess the effectiveness of our care model. Material and methods: A retrospective study has been designed, in which the 255 patients who were admitted to the Traumatology service due to osteoporotic hip fracture in 2018 during a period of 3 years, have been assessed. For the statistical analysis, subsequent fractures and exitus have been selected as objective variables, and as explanatory variables: sex, age, treatment for osteoporosis, surgical delay and days of hospital stay. The association between the objective (categorical) and explanatory variables will be evaluated by a univariate analysis with a Pearson Chi-square test for categorical explanatory variables, or, with a Mann-Whitney-Wilcoxon test for continuous explanatory variables. Survival will be analyzed using the Kaplan-Meier method, comparing treatment groups with the log-Rank-test. Results: The mean age was 85,21 ± 6,87 years, with 183 women (76, 25 %) and 57 men (23,75 %). The most frequent fracture was pertrochanteric, with 111 (46.25 %) cases. A total of 117 patients were treated for osteoporosis. A significant relationship has been found between mortality and days of hospital stay (no exitus 8,89 days and with exitus 11,43 days). It is also observed that the percentage of patients with subsequent fractures is lower in treated patients (6.84 % versus untreated 11.32 %). The Kaplan-Meier survival analysis was slightly higher in treated patients, although it was not significant. Conclusion: It can be concluded that our care model could be an alternative to orthogeriatric units and that our FLS has a certain positive effect on survival and reduction of subsequent fractures, although not significantly. |
| format | Article |
| id | doaj-art-4da8a6532047446493aa2ef8a420dcfc |
| institution | DOAJ |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj-art-4da8a6532047446493aa2ef8a420dcfc2025-08-20T03:21:27ZengElsevierJournal of Orthopaedic Reports2773-157X2025-04-014110054010.1016/j.jorep.2024.100540Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective studyJosé S. Barreda-Puchades0Joan Andreu-Safont1Sara Linares-Aguayo2Rafael Ortiz-Ramón3Marta Ribelles-Férez4Alberto García-Roig5Pablo Cañete-Sanpastor6Department of Orthopaedic and Trauma Surgery, Hospital de Manises, Av. de La Generalitat Valenciana, 50, Manises, 46940, Valencia, Spain; Corresponding author.Department of Orthopaedic and Trauma Surgery, Hospital de Manises, Av. de La Generalitat Valenciana, 50, Manises, 46940, Valencia, SpainData Analytics Department, Hospital de Manises, Valencia, SpainHigher School of Science and Technology (ESICT), Universidad Internacional de Valencia – VIU, Valencia, SpainDepartment of Orthopaedic and Trauma Surgery, Hospital de Manises, Av. de La Generalitat Valenciana, 50, Manises, 46940, Valencia, SpainDepartment of Orthopaedic and Trauma Surgery, Hospital de Manises, Av. de La Generalitat Valenciana, 50, Manises, 46940, Valencia, SpainDepartment of Orthopaedic and Trauma Surgery, Hospital de Manises, Av. de La Generalitat Valenciana, 50, Manises, 46940, Valencia, SpainIntroduction: To improve the patient's care with fragility hip fracture the association of orthogeriatric units with Fracture Liaison Service (FLS) units has been proposed as the one that more improves this function. The objective of our work is to assess the effectiveness of our care model. Material and methods: A retrospective study has been designed, in which the 255 patients who were admitted to the Traumatology service due to osteoporotic hip fracture in 2018 during a period of 3 years, have been assessed. For the statistical analysis, subsequent fractures and exitus have been selected as objective variables, and as explanatory variables: sex, age, treatment for osteoporosis, surgical delay and days of hospital stay. The association between the objective (categorical) and explanatory variables will be evaluated by a univariate analysis with a Pearson Chi-square test for categorical explanatory variables, or, with a Mann-Whitney-Wilcoxon test for continuous explanatory variables. Survival will be analyzed using the Kaplan-Meier method, comparing treatment groups with the log-Rank-test. Results: The mean age was 85,21 ± 6,87 years, with 183 women (76, 25 %) and 57 men (23,75 %). The most frequent fracture was pertrochanteric, with 111 (46.25 %) cases. A total of 117 patients were treated for osteoporosis. A significant relationship has been found between mortality and days of hospital stay (no exitus 8,89 days and with exitus 11,43 days). It is also observed that the percentage of patients with subsequent fractures is lower in treated patients (6.84 % versus untreated 11.32 %). The Kaplan-Meier survival analysis was slightly higher in treated patients, although it was not significant. Conclusion: It can be concluded that our care model could be an alternative to orthogeriatric units and that our FLS has a certain positive effect on survival and reduction of subsequent fractures, although not significantly.http://www.sciencedirect.com/science/article/pii/S2773157X24002352Fracture secondary preventionCare modelFracture liaison serviceHip fractureOrthogeriatric unitSurvival |
| spellingShingle | José S. Barreda-Puchades Joan Andreu-Safont Sara Linares-Aguayo Rafael Ortiz-Ramón Marta Ribelles-Férez Alberto García-Roig Pablo Cañete-Sanpastor Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study Journal of Orthopaedic Reports Fracture secondary prevention Care model Fracture liaison service Hip fracture Orthogeriatric unit Survival |
| title | Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study |
| title_full | Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study |
| title_fullStr | Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study |
| title_full_unstemmed | Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study |
| title_short | Evaluation of our care model in patients with fragility hip fracture: Multidisciplinary team and Fracture Liaison Service. A three-year retrospective study |
| title_sort | evaluation of our care model in patients with fragility hip fracture multidisciplinary team and fracture liaison service a three year retrospective study |
| topic | Fracture secondary prevention Care model Fracture liaison service Hip fracture Orthogeriatric unit Survival |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24002352 |
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