A Retrospective Audit of Osteoporosis Management Following Fragility Fractures in a Hospital Setting
2024

Audit of Osteoporosis Management After Fragility Fractures

Sample size: 309 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Singh Sushmit, Patil Shireen, Thein Myat, Kulkarni Jigisha, Kakroo Azra Z, Singh Ladlee, Dhotare Bhagyashree, Nolan Elizabeth

Primary Institution: Warrington and Halton Teaching Hospitals NHS Foundation Trust

Hypothesis

How effectively are fragility fractures managed in elderly patients in a hospital setting?

Conclusion

The audit revealed significant gaps in the management of fragility fractures despite existing guidelines.

Supporting Evidence

  • Only 16% of patients received bisphosphonates during their hospital stay.
  • 80% of patients did not receive medications after discharge.
  • Low rates of DEXA scans and metabolic bone clinic referrals were observed.

Takeaway

This study looked at how well hospitals are treating older people with weak bones after they break something. It found that many patients aren't getting the help they need.

Methodology

A retrospective audit was conducted using electronic medical records of patients aged 65 and above with fragility fractures.

Potential Biases

The study is based on a single center, which may limit the generalizability of its findings.

Limitations

The study's retrospective nature and reliance on electronic records may omit critical clinical information.

Participant Demographics

Patients aged 65 and above, with a majority being female.

Digital Object Identifier (DOI)

10.7759/cureus.76047

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