Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .
Pain and disability associated with new vertebral fractures and other spinal conditions.
Although vertebral fractures are common among older women , little is known about associations with pain and disability . In this prospect i ve study , fractures which occurred after the initial radiograph were strong predictors of back pain and disability at the end of followup , with odds ratios ( OR ) of approximately 4 - 5 . Other , independently significant predictors were self-reported history of ( 1 ) disk disease ( OR = 3 - 9 ) , ( 2 ) traumatic back injury ( OR = 4 - 7 ) , and ( 3 ) spinal arthritis ( OR = 3 - 6 ) . In longitudinal analyses , new fractures were associated ( OR = 6.4 ; 95 % CI = 2.6 , 15.6 ) with increases in back pain frequency ( relative to pre-fracture levels ) . The association with prevalent fractures was weaker , and not significant ( OR = 1.7 ; 95 % CI = 0.5 , 5.6 ) . The pain frequency index increased approximately 3-fold , relative to pre-fracture levels . At the end of followup ( mean = 3.5 years ) , the index was still two times greater than baseline . We conclude that associations with back pain and disability are greater in magnitude for new vertebral fractures than for prevalent fractures
Vertebral fracture caused the greatest health burden , but hip fracture patients were the main users of informal care after hospital discharge .
There was an increased risk of a subsequent fracture after a primary fracture compared with the control group , a cohort comparison , or the general population .
Osteoporotic fractures , especially hip fractures , are associated with higher mortality rate despite the advances in the management of osteoporotic fracture cases .
There is strong evidence to show that after hospital discharge , osteoporotic fracture patients are faced with higher morbidity , subsequent fractures , and mortality
PURPOSE Osteoporotic fracture is the main complication of osteoporosis .
The current management is to discharge patients as early as possible so they can get back to their daily activities .
Once discharged , there are three main issues relating to morbidity , mortality , and risk of a subsequent fracture that need to be addressed and discussed .
Therefore , the aim of this systematic review was to summarize and evaluate the evidence from published literature , to determine the outcome of osteoporotic fracture patients after their hospital discharge .