Factors associated with receiving anti-osteoporosis treatment among older persons with minimal trauma hip fracture presenting to an acute orthogeriatric service |
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| Affiliation: | 1. Staff Specialist in Geriatric Medicine, Department of Geriatric Medicine, John Hunter Hospital, Newcastle, NSW, Australia;2. Conjoint Fellow, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia;3. Clinical Nurse Specialist, Department of Orthopaedics, John Hunter Hospital, Newcastle, NSW, Australia;4. Conjoint Senior Lecturer, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia;1. Department of Human Physiology and Sleep Laboratory, Faculty of Medicine and Dentistry, PJ Safarik University, Kosice, Slovakia;2. Department of Medicine, Weill Cornell Medical College – Qatar, Doha, Qatar;3. Department of Medicine, King''s College London, London, UK;4. St Vincents Clinical School, University of New South Wales, St Vincents Hospital, Sydney, Australia;5. NHMRC Centre for Integrated Research and Understanding Sleep (CIRUS), Woolcock Institute of Medical Research, University of Sydney, Australia;1. Laboratory of Human Anatomy, Thomson Building, School of Life Sciences, College of Medical, Veterinary and Life Sciences, Univeristy of Glasgow, UK;2. Department of Orthopaedics, Glasgow Royal Infirmary, UK;1. Department of Orthopaedic Surgery, St. Cloud Orthopedics and St. Cloud Hospital, St. Cloud, MN, United States;2. Scientific Research and Statistics with Stryker, Trauma and Extremities, Kiel, Germany;1. Royal Victoria Hospital, Belfast, United Kingdom;2. Fracture Outcomes and Research Department (FORD), Royal Victoria Hospital, Belfast, United Kingdom |
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| Abstract: | ![]()
Background/AimThe aim of this study was to investigate factors that were associated with receiving anti-osteoporosis treatment (AOT) among patients with minimal trauma hip fracture admitted to an Australian tertiary trauma centre under the Acute Orthogeriatric Service (AOS) over a 6 month period.DesignObservational study using prospectively collected data.MethodsDemographic and clinical characteristics of 211 patients were extracted from the local hip fracture registry and electronic medical records. The outcome measure was receipt of AOT before separation from the AOS. Binary logistic regression was used to identify factors independently associated with treatment.Results91 (45%) patients received AOT, including 51 (25.2%) treatment-naive patients. Factors significantly associated with receiving treatment included higher serum vitamin D level (OR 1.44, 95% CI 1.23–1.70, p < 0.001) and trochanteric vs. cervical fracture (OR 2.67, 95% CI 1.30–5.49, p = 0.007). Living in a residential aged care facility (RACF) prior to the index fracture (OR 0.2, 95% CI 0.08–0.54, p = 0.001) and higher American Society of Anaesthesiologists (ASA) physical status score (OR 0.5, 95% CI 0.25–0.98, p = 0.04) significantly lowered the likelihood of treatment. Age, gender, cognitive impairment, premorbid walking ability, previous fragility fracture and renal impairment did not correlate with treatment.ConclusionA significant proportion (55%) of hip fracture patients did not receive AOT in hospital. The probability of receiving treatment appears to be significantly associated with serum vitamin D level, fracture type, place of residence and comorbidity burden. |
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| Keywords: | Osteoporosis Hip fracture Secondary prevention Correlates Antiresorptive treatment |
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