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Arch Orthop Trauma Surg. 2009 Feb;129(2):245-50. doi: 10.1007/s00402-008-0809-1. Epub 2009 Jan 6.

Interventions to improve inpatient osteoporosis management following first osteoporotic fracture: the PREVENT project.

Author information

1
University Hospital Reina Sofia, Mejorana 45, 14012 Cordoba, Spain. pcarpinterob@medynet.com

Abstract

OBJECTIVES:

To establish a protocol for the treatment of fragility fractures in the hospital setting based on treatment of osteoporosis.

MATERIALS AND METHODS:

An intervention protocol was implemented in patients with fragility fractures based on (1) indicating the diagnosis of osteoporotic fracture in the summary of discharge; (2) "lifestyle recommendations"; and (3) therapy for osteoporosis. Thirty-one hospitals were involved and they were informed of the importance of protocol compliance. In the first phase, a retrospective study was conducted to establish the number of low-energy fractures treated and the percentage of them that had complied with the protocol (n = 887). Then, prospectively, the same data were collected for the patients managed for 1 year (n = 6,826) in three sections of 4-month intervals.

RESULTS:

The percentage of compliance increased from 8.2 to 57.2% in the first point, from 12.6 to 42.4% in the second, and from 10.3 to 43.2% in the third.

CONCLUSION:

The implementation of programs to improve osteoporosis treatment is very useful for ensuring adherence in the management of osteoporosis following admission due to fragility fracture.

PMID:
19125257
DOI:
10.1007/s00402-008-0809-1
[Indexed for MEDLINE]

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