Abstract

HERRERA PEREZ, M.; RODRIGUEZ RODRIGUEZ, E.; ALVISA NEGRIN, J.C.  and  PAIS BRITO, J.L.. Checklist for prevention of new hip fractures. Rev Osteoporos Metab Miner [online]. 2013, vol.5, n.1, pp.7-14. ISSN 2173-2345.  https://dx.doi.org/10.4321/S1889-836X2013000100002.

Introduction: Hip fracture is the worst complication of osteoporosis and especially affects postmenopausal women in the developed world. Previous studies have shown low rates of initiating osteoporosis treatment during hip fracture hospitalization. Objective: To probe the effectiveness of the so-called hip fracture checklist in increasing the rate of the initiation of osteoporosis treatment compared with the previous two years. Methods: Rates of initiating treatment among a population of one hundred postmenopausal women over 60 years of age surgically treated after suffering a hip fracture. Comparison of rates of prescription in our hospital before and after initiating the current study. Results: In 2006, 1.66% of the patients were discharged from hospital with a new treatment for osteoporosis. In 2007, the rate was 6.9%. The age of our patients was 80.4 years. All of them were diagnosed during hospitalization with either osteoporosis (61.9%) or osteopenia (38.1%), but only 13% of them were previously diagnosed with osteoporosis, 10% of them were taking calcium and vitamin D, and 2% bisphosphonates. At the time of discharge, we prescribed calcium and vitamin D to all the patients (100%), and bisphosphonates (oral or parenteral) to the 94.6% of them. Conclusions: The results show a significant increase in rates of antiosteoporotic drugs prescription compared with the previous two years. The implementation of the hip fracture checklist clearly increases the likelihood of starting osteoporosis treatment post hip fragility fracture.

Keywords : fragility hip fracture; osteoporosis; osteoporosis treatment.

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