Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions

Background. Falls and hip fractures are an increasing health threat to older people who often never return to independent living. This study examines the management of bone health in an acute care setting following a hip fracture in patients over age 65. Methods. Retrospective chart review of all pa...

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Main Authors: Anna Byszewski, Genevieve Lemay, Frank Molnar, Nahid Azad, Seanna E. McMartin
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.4061/2011/404969
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spelling doaj-47914ab0cb45461baaf5120ebf040bb82020-11-25T00:37:37ZengHindawi LimitedJournal of Osteoporosis2042-00642011-01-01201110.4061/2011/404969404969Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital AdmissionsAnna Byszewski0Genevieve Lemay1Frank Molnar2Nahid Azad3Seanna E. McMartin4The Geriatric Assessment Unit, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, CanadaFaculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, CanadaThe Geriatric Assessment Unit, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, CanadaThe Geriatric Assessment Unit, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, CanadaSchool of Public Health, University of Alberta, 3-50 University Terrace, 112 Street Edmonton, AB, T6G 2T4, CanadaBackground. Falls and hip fractures are an increasing health threat to older people who often never return to independent living. This study examines the management of bone health in an acute care setting following a hip fracture in patients over age 65. Methods. Retrospective chart review of all patients admitted to a tertiary health facility who suffered a recent hip fracture. Results. 420 charts of patients admitted over the course of a year (May 1, 2007–April 31, 2008) were reviewed. Thirty-seven percent of patients were supplemented with calcium on discharge, and 36% were supplemented with vitamin D on discharge. Thirty-one percent were discharged on a bisphosphonate. Conclusion. A significant care gap still exists in how osteoporosis is addressed despite guidelines on optimal management. A call to action is required by use of multifaceted approaches to bridge the gap, ensuring that fracture risk is minimized for the aging population.http://dx.doi.org/10.4061/2011/404969
collection DOAJ
language English
format Article
sources DOAJ
author Anna Byszewski
Genevieve Lemay
Frank Molnar
Nahid Azad
Seanna E. McMartin
spellingShingle Anna Byszewski
Genevieve Lemay
Frank Molnar
Nahid Azad
Seanna E. McMartin
Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
Journal of Osteoporosis
author_facet Anna Byszewski
Genevieve Lemay
Frank Molnar
Nahid Azad
Seanna E. McMartin
author_sort Anna Byszewski
title Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
title_short Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
title_full Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
title_fullStr Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
title_full_unstemmed Closing the Osteoporosis Care Gap in Hip Fracture Patients: An Opportunity to Decrease Recurrent Fractures and Hospital Admissions
title_sort closing the osteoporosis care gap in hip fracture patients: an opportunity to decrease recurrent fractures and hospital admissions
publisher Hindawi Limited
series Journal of Osteoporosis
issn 2042-0064
publishDate 2011-01-01
description Background. Falls and hip fractures are an increasing health threat to older people who often never return to independent living. This study examines the management of bone health in an acute care setting following a hip fracture in patients over age 65. Methods. Retrospective chart review of all patients admitted to a tertiary health facility who suffered a recent hip fracture. Results. 420 charts of patients admitted over the course of a year (May 1, 2007–April 31, 2008) were reviewed. Thirty-seven percent of patients were supplemented with calcium on discharge, and 36% were supplemented with vitamin D on discharge. Thirty-one percent were discharged on a bisphosphonate. Conclusion. A significant care gap still exists in how osteoporosis is addressed despite guidelines on optimal management. A call to action is required by use of multifaceted approaches to bridge the gap, ensuring that fracture risk is minimized for the aging population.
url http://dx.doi.org/10.4061/2011/404969
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