Medical management of patients over 50 years admitted to orthopedic surgery for low-energy fracture.

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  • Additional Information
    • Source:
      Publisher: Editions Elsevier Country of Publication: France NLM ID: 100938016 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1778-7254 (Electronic) Linking ISSN: 1297319X NLM ISO Abbreviation: Joint Bone Spine Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris : Editions Elsevier, c2000-
    • Subject Terms:
      Fractures, Spontaneous/*therapy ; Hospitalization/*statistics & numerical data ; Orthopedics/*statistics & numerical data ; Osteoporosis/*diagnosis ; Referral and Consultation/*organization & administration ; Rheumatology/*organization & administration; Absorptiometry, Photon ; Aged ; Bone Density Conservation Agents/therapeutic use ; Calcium, Dietary/administration & dosage ; Dietary Supplements ; Female ; Fractures, Spontaneous/etiology ; France ; Humans ; Male ; Orthopedics/organization & administration ; Osteoporosis/complications ; Osteoporosis/therapy ; Vitamin D/administration & dosage
    • Abstract:
      Objective: To develop a cost-effective strategy for improving osteoporosis management in patients admitted to an orthopedic surgery department for low-energy fractures.
      Methods: From November 2003 to July 2004, all patients over 50 years admitted to the orthopedics department of the Caen Teaching Hospital (France) for low-energy fractures were identified and evaluated by rheumatology department physicians in the same hospital.
      Results: During the study period, 313 patients were identified, 257 women (mean age, 79.5+/-10.2 years) and 56 men (mean age, 74.6+/-10.8 years), each with one fracture (proximal femur, 58.9%; wrist, 13%). Among them, 91 (29%) had a previous history of osteoporotic fractures. Mean bone mineral density (BMD) values were lower at the femoral neck than at the total hip or lumbar spine (e.g. in women, -2.3+/-0.9 versus -1.8+/-1.0 and -1.4+/-1.7, respectively). Osteoporosis treatment was given to 88 (28%) patients and consisted of calcium and vitamin D supplements, combined with alendronate in 32 patients. Complete loss of self-sufficiency occurred in 73 patients. Thus, 161 patients (88 with osteoporosis treatment and 73 with loss of self-sufficiency) received optimal treatment.
      Conclusion: Cooperation between the orthopedics and rheumatology departments improved the management of osteoporosis in patients with low-energy fractures. However, appropriate investigation and treatment of osteoporosis proved difficult in the oldest old and in patients with cognitive impairments.
    • Accession Number:
      0 (Bone Density Conservation Agents)
      0 (Calcium, Dietary)
      1406-16-2 (Vitamin D)
    • Publication Date:
      Date Created: 20060922 Date Completed: 20070614 Latest Revision: 20200205
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.jbspin.2006.03.003
    • Accession Number:
      16987682