Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Osteoporosis
Abstract number: 23948
IS OSTEOPOROSIS BEING MANAGED ADEQUATELY: A REVIEW OF OUR
PRACTICE
Dushan THAVARAJAH, Alison GOLDTHORPE, Gareth POWELL, Andrew FLOYD
Milton Keynes General Hospital, Milton Keynes (UNITED KINGDOM)
Introduction: Osteoporosis is characterised by low bone mass and structural
deterioration of bone tissue, this increases the susceptibility to fractures from low
energy trauma. In the UK based on current trends, hip fracture rates may increase
from 46,000 in 1985 to 117,000 by 2016. Hip fractures cause the most morbidity with
reported mortality rates up to 20-24% in the first year after a hip fracture. We aimed
to determine how patients admitted under our orthopaedic care with hip fractures
were managed pre-admission and during admission. Methods: A retrospective audit
of trauma admissions from Jan 2008 -Dec 2009 that had neck of femur fractures over
the age of 60 in accordance with the British Orthopaedic Association Guidelines were
reviewed from their discharge summaries to see if they were on osteoporosis
treatment before admission or started on treatment whilst admitted. Results: A total of
87 patients discharge summaries were reviewed. 13 patients were treated for
osteoporosis prior to admission. No patients received investigation in the form of
DEXA scan or treatment for osteoporosis whilst an inpatient. Conclusion: Hip
fractures are the most expensive osteoporotic fracture to treat, comprising 87% of the
total cost of all fragility fractures. We failed to identity and treat any patients for
osteoporosis. Orthopaedic surgeons need be more pro-active in highlighting at-risk
patients. We propose a question asking if osteoporosis management has been
initiated on the electronic discharge summary which has to be answered for the
summary to be complete and before the patient is discharged.
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