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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2011-01-01
|
Series: | Journal of Osteoporosis |
Online Access: | http://dx.doi.org/10.4061/2011/404969 |
id |
doaj-47914ab0cb45461baaf5120ebf040bb8 |
---|---|
record_format |
Article |
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 |
work_keys_str_mv |
AT annabyszewski closingtheosteoporosiscaregapinhipfracturepatientsanopportunitytodecreaserecurrentfracturesandhospitaladmissions AT genevievelemay closingtheosteoporosiscaregapinhipfracturepatientsanopportunitytodecreaserecurrentfracturesandhospitaladmissions AT frankmolnar closingtheosteoporosiscaregapinhipfracturepatientsanopportunitytodecreaserecurrentfracturesandhospitaladmissions AT nahidazad closingtheosteoporosiscaregapinhipfracturepatientsanopportunitytodecreaserecurrentfracturesandhospitaladmissions AT seannaemcmartin closingtheosteoporosiscaregapinhipfracturepatientsanopportunitytodecreaserecurrentfracturesandhospitaladmissions |
_version_ |
1725300457205661696 |