The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study
Osteoporosis and Sarcopenia
; : 199-204, 2020.
Article
em En
| WPRIM
| ID: wpr-895313
Biblioteca responsável:
WPRO
ABSTRACT
Objectives@#The purpose of the study is to assess the effectiveness of fracture liaison service (FLS) after 5-year implementation to close the secondary fracture care gap, ensuring that patients receive osteoporosis assessment, intervention, and treatment, therefore, reducing the fracture risk at Police General Hospital (PGH). @*Methods@#A prospective cohort study was conducted. We studied male and female, ≥ 50 years old who presented with a fragility hip fracture and participated in PGH’s FLS from April 1, 2014–March 31, 2019 (5 years implementation). The sample size was 353 patients, with 1-year follow-up. The data were compared with a previous study, before the commencement of the FLS. @*Results@#After 1-year follow up, the mortality rates were 5.95% and there were only 8 patients who had secondary fractures (2.93%), which showed a decrease of 30% from before FLS implementation. Post-injury bone mineral density (BMD) rates were increased from 28.33% to 85.84%, osteoporosis treatment rates were increased from 40.8% to 89.38%, and the time to surgery and hospitalization decreased from 7.9 to 5.0 days, and 23.2 to 19.6 days, respectively, all with statistical significance (P < 0.001). However, the 1-year mortality rates were not significant when compared to the previous study. @*Conclusions@#Patients with fragility hip fractures participating in FLS after 5-year implementation at PGH had significantly higher post-injury BMD and osteoporosis treatment rates and significantly shorter in time to surgery and hospitalization. This showed that secondary fracture rates were lower than before the project at 1-year of follow up.
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Índice:
WPRIM
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Observational_studies
Idioma:
En
Revista:
Osteoporosis and Sarcopenia
Ano de publicação:
2020
Tipo de documento:
Article