Taking care of inpatients with fragility hip fractures: the hip-padua osteosarcopenia (Hip-POS) fracture liaison service model.
Fracture liaison service
Fracture prevention
Hip fractures
Osteoporosis
Sarcopenia
Journal
Journal of endocrinological investigation
ISSN: 1720-8386
Titre abrégé: J Endocrinol Invest
Pays: Italy
ID NLM: 7806594
Informations de publication
Date de publication:
06 Jul 2024
06 Jul 2024
Historique:
received:
03
04
2024
accepted:
20
06
2024
medline:
7
7
2024
pubmed:
7
7
2024
entrez:
6
7
2024
Statut:
aheadofprint
Résumé
Osteoporotic fragility fractures (FF), particularly those affecting the hip, represent a major clinical and socio-economic concern. These fractures can lead to various adverse outcomes, which may be exacerbated by the presence of sarcopenia, especially among older and frail patients. Early identification of patients with FF is crucial for implementing effective diagnostic and therapeutic strategies to prevent subsequent fractures and their associated consequences. The Hip-POS program, implemented at Azienda Ospedale-Università Padova, is a Fracture Liaison Service (FLS) program to evaluate patients aged > 50 years old admitted with fragility hip fractures, involving an interdisciplinary team. After the identification of patients with hip fractures in the Emergency Department, a comprehensive evaluation is conducted to identify risk factors for further fractures, and to assess the main domains of multidimensional geriatric assessment, including muscle status. Patients are then prescribed with anti-fracture therapy, finally undergoing periodic follow-up visits. During the first five months, a total of 250 patients were evaluated (70.4% women, median age 85 years). Following assessment by the Hip-POS team, compared to pre-hospitalization, the proportion of patients not receiving antifracture therapy decreased significantly from 60 to 21%. The prescription rates of vitamin D and calcium increased markedly from 29.6% to 81%. We introduced the Hip-POS program for the care of older adults with hip fractures. We aspire that our model will represent a promising approach to enhancing post-fracture care by addressing the multifactorial nature of osteoporosis and its consequences, bridging the gap in secondary fracture prevention, and improving patient outcomes.
Identifiants
pubmed: 38971949
doi: 10.1007/s40618-024-02425-z
pii: 10.1007/s40618-024-02425-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Carlotta Andaloro
(C)
Giulia Bano
(G)
Deris Gianni Boemo
(DG)
Ester Bukli
(E)
Davide Cannavò
(D)
Alberta Cecchinato
(A)
Martina Dall'Agnol
(M)
Marina Rui
(M)
Mario Degan
(M)
Marta Dianin
(M)
Martin Diogo
(M)
Michela Ferrarese
(M)
Claudia Finamoni
(C)
Francesca Guidolin
(F)
Mario Rosario Lo Storto
(MRL)
Elena Marigo
(E)
Stefano Masiero
(S)
Caterina Mian
(C)
Maria Vittoria Nesoti
(MV)
Mor Peleg Falb
(MP)
Cristina Russo
(C)
Cristina Simonato
(C)
Giulia Termini
(G)
Hillary Veronese
(H)
Francesca Zanchetta
(F)
Chiara Ziliotto
(C)
Informations de copyright
© 2024. The Author(s).
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