Compliance of an elderly hip fracture population with secondary preventative measures. Efficacy of a simple clinical practice intervention.

Hdl Handle:
http://hdl.handle.net/10147/208838
Title:
Compliance of an elderly hip fracture population with secondary preventative measures. Efficacy of a simple clinical practice intervention.
Authors:
Street, John; Lenehan, Brian; Higgins, Tony; Mulcahy, David; Mullan, George
Affiliation:
Department of Trauma and Orthopaedic Surgery, Cork University Hospital, Cork,, Ireland. hrb_street@yahoo.com
Citation:
Acta Orthop Belg. 2006 Apr;72(2):204-9.
Journal:
Acta orthopaedica Belgica
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208838
PubMed ID:
16768267
Abstract:
Secondary pharmaceutical measures are effective in all age groups for the prevention of osteoporotic fractures. This prospective study determines the demographics of 566 consecutive osteoporotic hip fractures presenting to a Level 1 Trauma Center. We examine the efficacy of simple treatment recommendations for pharmaceutical treatment of osteoporosis and the factors determining general practitioner and patient compliance with these recommendations in a community setting. One out of four patients (24.5%) had sustained a previous fragility fracture. Mean age was 80 years. Twenty five percent were resident in a nursing home and only 10% were taking anti-resorptive therapy preoperatively. In hospital mortality was 6%, and 39% of recruited patients were dead at 12 months. By this time more than half the survivors were resident in a nursing home. The compliance with anti-resorptive therapy had increased to over 70% consequent to our simple recommendations. Significant differences in GP and patient compliance were observed between nursing home and own residence dwellers. This study demonstrates the efficacy of a simple clinical practice intervention in increasing patient and GP compliance with secondary fracture prevention measures. We also discuss many of the confounding issues determining this compliance.
Language:
eng
MeSH:
Aged; Aged, 80 and over; Family Practice; Female; Hip Fractures/etiology/*prevention & control; Humans; Male; Osteoporosis/complications/*drug therapy; *Patient Compliance; Prospective Studies; Recurrence
ISSN:
0001-6462 (Print); 0001-6462 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorStreet, Johnen_GB
dc.contributor.authorLenehan, Brianen_GB
dc.contributor.authorHiggins, Tonyen_GB
dc.contributor.authorMulcahy, Daviden_GB
dc.contributor.authorMullan, Georgeen_GB
dc.date.accessioned2012-02-03T15:05:01Z-
dc.date.available2012-02-03T15:05:01Z-
dc.date.issued2012-02-03T15:05:01Z-
dc.identifier.citationActa Orthop Belg. 2006 Apr;72(2):204-9.en_GB
dc.identifier.issn0001-6462 (Print)en_GB
dc.identifier.issn0001-6462 (Linking)en_GB
dc.identifier.pmid16768267en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208838-
dc.description.abstractSecondary pharmaceutical measures are effective in all age groups for the prevention of osteoporotic fractures. This prospective study determines the demographics of 566 consecutive osteoporotic hip fractures presenting to a Level 1 Trauma Center. We examine the efficacy of simple treatment recommendations for pharmaceutical treatment of osteoporosis and the factors determining general practitioner and patient compliance with these recommendations in a community setting. One out of four patients (24.5%) had sustained a previous fragility fracture. Mean age was 80 years. Twenty five percent were resident in a nursing home and only 10% were taking anti-resorptive therapy preoperatively. In hospital mortality was 6%, and 39% of recruited patients were dead at 12 months. By this time more than half the survivors were resident in a nursing home. The compliance with anti-resorptive therapy had increased to over 70% consequent to our simple recommendations. Significant differences in GP and patient compliance were observed between nursing home and own residence dwellers. This study demonstrates the efficacy of a simple clinical practice intervention in increasing patient and GP compliance with secondary fracture prevention measures. We also discuss many of the confounding issues determining this compliance.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshFamily Practiceen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHip Fractures/etiology/*prevention & controlen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshOsteoporosis/complications/*drug therapyen_GB
dc.subject.mesh*Patient Complianceen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshRecurrenceen_GB
dc.titleCompliance of an elderly hip fracture population with secondary preventative measures. Efficacy of a simple clinical practice intervention.en_GB
dc.contributor.departmentDepartment of Trauma and Orthopaedic Surgery, Cork University Hospital, Cork,, Ireland. hrb_street@yahoo.comen_GB
dc.identifier.journalActa orthopaedica Belgicaen_GB
dc.description.provinceMunster-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.