Missed opportunities for prevention of hip fracture in older patients
Background/Aim. Osteoporotic fractures are a major cause of morbidity in the population. Therefore, fracture prevention strategies should be a major concern, and one of the priorities in the primary health care system. The aim of the study was to assess fracture and fall risk factors, and fractur...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2012-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501205420D.pdf |
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| author | Dubljanin-Raspopović Emilija Denić-Marković Ljiljana Tulić Goran Grajić Mirko Tomanović Sanja Kadija Marko Bumbaširević Marko |
| author_facet | Dubljanin-Raspopović Emilija Denić-Marković Ljiljana Tulić Goran Grajić Mirko Tomanović Sanja Kadija Marko Bumbaširević Marko |
| author_sort | Dubljanin-Raspopović Emilija |
| collection | DOAJ |
| description | Background/Aim. Osteoporotic fractures are a major cause of morbidity in the population. Therefore, fracture prevention strategies should be a major concern, and one of the priorities in the primary health care system. The aim of the study was to assess fracture and fall risk factors, and fracture risk level in patients with acute hip fracture, and to evaluate if there had been adequate osteoporosis treatment prior to fracture in this group of patients. Methods. Fracture and fall risk factors were assessed in 342 patients, ≥ 65 years old, hospitalized due to acute hip fracture at the Clinic for Orthopedic Surgery and Traumatology, Clinical Centre of Serbia in a 12-month period. Fall risk factors were assessed with the Fracture Risk Assessment (FRAX®) algorithm, and patients were classified in respect to fracture risk level. Results. Hip fracture occurred in the majority of the patients in the high risk group (74.2%), where no additional bone mineral density testing was needed. Less than 10% of the patients had a diagnosis of osteoporosis before injury, while less than 2% were treated. Cognitive impairment (95.3%), visual impairment (58.2%), lower index of daily activities (51.8%), and depression (47.1%) were the most frequently observed fall risk factors. Conclusion. The results of our investigation reveal insufficient identification of clinical fracture risk factors in the primary care setting, inadequate treatment of osteoporosis and, consequently, ineffective prevention of hip fractures in the geriatric population. The introduction of FRAX® into clinical practice enables more effective acknowledgment of patients with elevated fracture risk, even if bone density measurement is not available. The results of this study have a special significance for everyday clinical practice, because they impose a need for reviewing the existing approaches to osteoporosis prevention, and precise definiment of hip prevention strategies. |
| format | Article |
| id | doaj-art-6bf6061f96c846f1bc5cff7ecf17e2f9 |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-6bf6061f96c846f1bc5cff7ecf17e2f92025-08-20T03:18:20ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169542042410.2298/VSP1205420DMissed opportunities for prevention of hip fracture in older patientsDubljanin-Raspopović EmilijaDenić-Marković LjiljanaTulić GoranGrajić MirkoTomanović SanjaKadija MarkoBumbaširević MarkoBackground/Aim. Osteoporotic fractures are a major cause of morbidity in the population. Therefore, fracture prevention strategies should be a major concern, and one of the priorities in the primary health care system. The aim of the study was to assess fracture and fall risk factors, and fracture risk level in patients with acute hip fracture, and to evaluate if there had been adequate osteoporosis treatment prior to fracture in this group of patients. Methods. Fracture and fall risk factors were assessed in 342 patients, ≥ 65 years old, hospitalized due to acute hip fracture at the Clinic for Orthopedic Surgery and Traumatology, Clinical Centre of Serbia in a 12-month period. Fall risk factors were assessed with the Fracture Risk Assessment (FRAX®) algorithm, and patients were classified in respect to fracture risk level. Results. Hip fracture occurred in the majority of the patients in the high risk group (74.2%), where no additional bone mineral density testing was needed. Less than 10% of the patients had a diagnosis of osteoporosis before injury, while less than 2% were treated. Cognitive impairment (95.3%), visual impairment (58.2%), lower index of daily activities (51.8%), and depression (47.1%) were the most frequently observed fall risk factors. Conclusion. The results of our investigation reveal insufficient identification of clinical fracture risk factors in the primary care setting, inadequate treatment of osteoporosis and, consequently, ineffective prevention of hip fractures in the geriatric population. The introduction of FRAX® into clinical practice enables more effective acknowledgment of patients with elevated fracture risk, even if bone density measurement is not available. The results of this study have a special significance for everyday clinical practice, because they impose a need for reviewing the existing approaches to osteoporosis prevention, and precise definiment of hip prevention strategies.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501205420D.pdfosteoporosistherapeuticsagedhip fracturesrisk factorsrisk assessment |
| spellingShingle | Dubljanin-Raspopović Emilija Denić-Marković Ljiljana Tulić Goran Grajić Mirko Tomanović Sanja Kadija Marko Bumbaširević Marko Missed opportunities for prevention of hip fracture in older patients Vojnosanitetski Pregled osteoporosis therapeutics aged hip fractures risk factors risk assessment |
| title | Missed opportunities for prevention of hip fracture in older patients |
| title_full | Missed opportunities for prevention of hip fracture in older patients |
| title_fullStr | Missed opportunities for prevention of hip fracture in older patients |
| title_full_unstemmed | Missed opportunities for prevention of hip fracture in older patients |
| title_short | Missed opportunities for prevention of hip fracture in older patients |
| title_sort | missed opportunities for prevention of hip fracture in older patients |
| topic | osteoporosis therapeutics aged hip fractures risk factors risk assessment |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501205420D.pdf |
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