Osteoporosis treatment in older adults undergoing rehabilitation post-hip fracture

Clinical and Experimental Rheumatology

N. Yuksel¹  C.A. Sadowski¹  A. Linn¹  A. Juby¹ 

关键词: Fracture;    geriatric;    hip;    osteoporosis;    predictors of treatment.;   

DOI  :  

学科分类：医学（综合）

来源: Pacini Editore SpA

【 摘 要 】

OBJECTIVES:Osteoporosis treatment in patients who have sustained a hip fracture has been reported to be less then 20%. The objective of this study is to determine the current rate of adherence to osteoporosis practice guidelines in elderly patients post-hip fracture who have undergone rehabilitation. METHODS:This was a retrospective chart review of patients over the age of 65 who were admitted to a rehabilitation facility post fragility hip fracture between 2004 and 2005. One hundred and sixty-three patient charts were chosen for review. Treatment rates, reported descriptively, and predictors of guideline adherence, using multi-variant regression models, are reported.RESULTS:Osteoporosis therapy (any type) was prescribed to 90 (63%) patients, with bisphosphonates prescribed in 90% of these cases. Calcium and vitamin D was prescribed to 130 (90.9%) patients. Of all the study patients, 76 (53%) of patients had at least one contraindication to osteoporosis therapy identified. Having a diagnosis of osteoporosis was the only factor associated with receiving osteoporosis therapy (OR 13.3, p<0.001). CONCLUSIONS:In this selected patient population the rates of osteoporosis treatment are higher than previously reported but remain suboptimal.

【 授权许可】

Unknown