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 .
Incidental vertebral fractures discovered with chest radiography in the emergency department: prevalence, recognition, and osteoporosis management in a cohort of elderly patients.
BACKGROUND Vertebral fractures are common and usually an indication for osteoporosis treatment . However , screening is not recommended , and many fractures go undetected . Our objectives were to determine the utility of chest radiographs for detecting previously unrecognized vertebral fractures ; document rates of recognition ; and evaluate osteoporosis treatments . METHODS In 2001 , we conducted a cohort study in a r and om sample of 500 patients older than 60 years who presented to our emergency department and underwent chest radiography for any indication .  The primary outcome was prevalence of moderate-to-severe vertebral fractures determined by independent radiograph review using vali date d semiquantitative techniques . Secondary outcomes were rates of fracture recognition according to official radiologists ' reports and rates of osteoporosis diagnosis and treatment . We conducted multivariable regression analyses to determine correlates of study -defined and officially reported fractures . RESULTS We excluded 36 patients with inadequate radiographs and 5 for other reasons . Mean age was 75.2 years ; 47 % were women ; and 80 % were white . The prevalence of moderate-to-severe vertebral fractures according to independent review was 72 ( 16 % ) of 459 ; 29 ( 40 % ) of these fractures were not recorded in the official radiologists ' report ( kappa = 0.64 ; 95 % confidence interval [ CI ] , 0.53 - 0.75 ) . A history of osteoporosis was the only independent correlate of having a vertebral fracture identified by independent review ( adjusted odds ratio [ OR ] , 2.18 ; 95 % CI , 1.14 - 4.17 ) or by official report ( adjusted OR , 4.97 ; 95 % CI , 0.95 - 25.86 ) . Of the 72 patients with fractures , only 18 ( 25 % ) had histories of osteoporosis or received osteoporosis medications . CONCLUSIONS One in 6 elderly patients who underwent chest radiography in our emergency department had clinical ly important vertebral fractures . Nevertheless , only 43 ( 60 % ) of these fractures were reported , and only 25 % of patients with fractures received a diagnosis of or treatment for osteoporosis
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 .