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 .
Effect of vertebral fractures on function, quality of life and hospitalisation the AGES-Reykjavik study.
BACKGROUND underst and ing the determinants of health burden after a fracture in ageing population s is important . OBJECTIVE assess the effect of clinical vertebral and other osteoporotic fractures on function and the subsequent risk of hospitalisation . DESIGN individuals from the prospect i ve population -based cohort study Age , Gene/Environment Susceptibility (AGES)-Reykjavik study were examined between 2002 and 2006 and followed up for 5.4 years . SUBJECTS a total of 5,764 individuals , 57.7 % women , born 1907 - 35 , mean age 77 . METHOD four groups with a verified fracture status were used ; vertebral fractures , other osteoporotic fractures excluding vertebral , non-osteoporotic fractures and not-fractured were compared and analysed for the effect on mobility , strength , QoL , ADL , co-morbidity and hospitalisation . RESULTS worst performance on functional tests was in the vertebral fracture group for women ( P < 0.0001 ) and the other osteoporotic fractures group for men ( P < 0.05 ) . Both vertebral and other osteoporotic fractures , showed an increased risk of hospitalisation , HR = 1.4 ( 95 % CI : 1.3 - 1.7 ) and 1.2 ( 95 % CI : 1.1 - 1.2 ) respectively ( P < 0.0001 ) . Individuals with vertebral fractures had 50 % ( P < 0.0001 ) longer hospitalisation than not-fractured and 33 % ( P < 0.002 ) longer than the other osteoporotic fractures group . CONCLUSION individuals with a history of clinical vertebral fracture seem to carry the greatest health burden compared with other fracture groups , emphasising the attention which should be given to those individuals
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 .