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 .
Targeted intervention reduces refracture rates in patients with incident non-vertebral osteoporotic fractures: a 4-year prospective controlled study
Summary In the present prospect i ve controlled observational study , we investigated the effect of a coordinated intervention program on 4-year refracture rates in patients with recent osteoporotic fractures . Compared to st and ard care , targeted identification , and management significantly reduced the risk of refracture by more than 80 % . Introduction The risk of refracture following an incident osteoporotic fracture is high . Despite the availability of treatments that reduce refracture and mortality rates , most patients with minimal trauma fracture ( MTF ) are not managed appropriately . The present prospect i ve controlled observational study investigated the effect of a coordinated intervention program on 4-year refracture rates and time to refracture in patients with recent osteoporotic fractures . Methods Patients presenting with a non-vertebral MTF were actively identified and offered referral to a dedicated intervention program . Patients attending the clinic underwent a st and ardized set of investigations , were treated as indicated and review ed at 12-monthly intervals ( ‘ MTF group ’ ) . Patients who elected to follow-up with their primary care physician were assigned to the concurrent control group . Results Groups were balanced for baseline anthropometric , socio-economic , and clinical risk factors . Over 4 years , 10 out of 246 patients ( 4.1 % ) in the MTF group and 31 of 157 patients ( 19.7 % ) in the control group suffered a new fracture , with a median time to refracture of 26 and 16 months , respectively ( p < 0.01 ) . Compared to the intervention group , the risk of refracture was increased by 5.3-fold in the control group ( 95 % CI : 2.8–12.2 , p < 0.01 ) , and remained elevated ( HR 5.63 , 95%CI 2.73–11.6 , p < 0.01 ) after adjustment for other significant predictors of refracture such as age and body weight . Conclusions In patients presenting with a minimal trauma non-vertebral fracture , active identification and management significantly reduces the risk of refracture ( Australian New Zeal and Clinical Trials Registry ACTRN 12606000108516 )
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 .