Effects of the falls and fractures clinic as an integrated multidisciplinary model of care in Australia: a pre-post study

BMJ Open
Fernando GomezGustavo Duque

Abstract

Traditionally, the approach to fracture prevention has focused on increasing bone mineral density while typically lacking a combined clinical approach to falls prevention and vice versa. To resolve this gap, we implemented and evaluated a novel combined model of care to the assessment and prevention of osteoporosis and falls in the outpatients setting. Falls and Fractures Clinic (FFC) at Nepean Hospital (Penrith, NSW, Australia). Pre-effects and posteffects assessment of 106 community-dwelling older patients referred from the community. Previous falls and fractures were recorded. Clinical, functional and paraclinical evaluations were performed. A comprehensive multidisciplinary care plan was then tailored based on the presence of risk factors. Six-month follow-ups were performed assessing the incidence of falls and fractures, change in risk factors for falls and level of risk, with the recommended plan. We report that 97% of patients had a fall in the preceding 6 months, 47.6% of whom experienced a fracture from the fall. Furthermore, 64% of patients had a marked risk for falling by Physiological Profile Assessment (PPA), 90% had intermediate-high 10-year probability of fracture according to FRAX and 78% had sarcopenia. At 6-mo...Continue Reading

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Citations

Jun 25, 2020·The New England Journal of Medicine·David A Ganz, Nancy K Latham
Aug 12, 2020·Journal of Medical Internet Research·Usman IqbalYu-Chuan Jack Li
Sep 15, 2020·Journal of the American Medical Directors Association·Felipe SalechCecilia Albala

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