Secondary prevention of osteoporosis post minimal trauma fracture in an Australian regional and rural population

The Australian Journal of Rural Health
Cecily M BarrackDan P Ewald

Abstract

Minimal trauma fracture (MTF) is an indication of osteoporosis and risk of future fracture. Our objective was to describe osteoporosis risk identification and secondary prevention in a regional and rural population hospitalised for an MTF. A retrospective inpatient file audit and follow-up telephone interview. Patients aged 45 years and over admitted for MTF management to two regional hospitals in northern New South Wales between July 2006 and June 2007. Proportion of patients who received bone mineral densitometry (BMD) assessment and proportion commenced on osteoporosis medication post fracture. There were 459 patients included in our inpatient file audit. During admission only 16% had osteoporosis risk documented, uptake of vitamin D assay or BMD were minimal and only 22% were discharged on preventive medication. Of 219 patients contacted post discharge, 36% reported discussing osteoporosis risk with their GPs, 22% reported post-discharge BMD and 32% were taking a bisphosphonate. Men were less likely to have commenced preventive medication (OR 0.42, CI, 0.19-0.91) and patients informed of their osteoporosis risk during hospitalisation were more likely to have had BMD (OR 1.93, CI, 1.03-3.61). Neither age nor history of previ...Continue Reading

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Citations

Jan 22, 2013·Current Osteoporosis Reports·Paul J Mitchell
Dec 8, 2014·Best Practice & Research. Clinical Rheumatology·Robyn SpeerinAndrew M Briggs
Jun 9, 2012·Australasian Journal on Ageing·Michelle Mei Yee LaiAmanda Barbara Larke
Dec 30, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Y -F ChangC -H Wu
Jun 16, 2017·The Australian Journal of Rural Health·Emily DavidsonJoe McGirr
Dec 23, 2016·Archives of Osteoporosis·Jane Anderson-WurfCatherine Harding
Oct 12, 2018·The Australian Journal of Rural Health·Campbell Bruce MacgregorPeter John Reaburn

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