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KMID : 1120320190050000003
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Osteoporosis and Sarcopenia
2019 Volume.5 No. 0 p.3 ~ p.3
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Fragility hip fractures in a team-based multidisciplinary orthogeriatric care setting with a Fracture Liaison Service: Patients’ profile and early outcomes
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Tabu Irewin A.
Sandoval Mark Anthony S.
Mangubat Antonio Alan S.
Bing Agsaoay Dorothy Dy Ching
Pena Maria Antonia Rosanna
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Abstract
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Introduction: Hip fractures in the elderly have become an increasingly common health concern. In the setting of increasing rates of osteoporosis and fragility fractures, the UPM-PGH Orthogeriatric Multidisciplinary Fracture Management Model and Fracture Liaison Service (FLS) was launched and a hip fracture database was established.
Objectives: The study aims to describe the profile of orthopedic geriatric patients aged 60 years old and above with acute fragility hip fractures occurring within one month of admission managed by a multidisciplinary team approach.
Methodology: All patients aged 60 years old and above with acute fragility hip fractures were treated by a multidisciplinary team. An FLS was in charge of documentation and coordination of follow-up consultations. Data collection from the database was done to gather information on patient profile, time to surgery, length of hospital stay, and follow-up rate, since this model was implemented.
Results: Twenty-eight patients were seen for a period of nine months. Majority were female, with an average age of 74. Most injuries were from a fall from standing height. There was a decrease in time to surgery and in length of hospital stay, when compared to previous data. Follow-up consults reveal more than 50% compliance with anti-osteoporosis medication, and that no secondary fractures or periprosthetic fractures have occurred since.
Conclusion: The implementation of a team-based orthogeriatric multidisciplinary care is likely to be beneficial to patients and feasible in a government hospital with limited resources. An FLS establishes consistent communication between the patient and health care providers which encourages better follow-ups and prevention of secondary fractures.
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