Taking care of inpatients with fragility hip fractures: the hip-padua osteosarcopenia (Hip-POS) fracture liaison service model.

Autor: Arcidiacono GP; Clinica Medica 1, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Ceolin C; Department of Medicine - DIMED, Division of Metabolic Disease (DIMED), University of Padova, Padua, Italy. chiara.ceolin.1@phd.unipd.it.; Geriatric Unit, Department of Medicine, University Hospital of Padova, Padua, Italy. chiara.ceolin.1@phd.unipd.it.; Department of Neurobiology, Care Sciences and Society, Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden. chiara.ceolin.1@phd.unipd.it., Sella S; Clinica Medica 1, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Camozzi V; Endocrinology Unit, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Bertocco A; Geriatric Unit, Department of Medicine, University Hospital of Padova, Padua, Italy., Torres MO; Clinica Medica 1, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Rodà MG; Orthopedics and Orthopedic Oncology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Cannito M; Endocrinology Unit, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Berizzi A; Orthopedics and Traumatology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Romanato G; Orthopedics and Traumatology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Venturin A; Physical Medicine and Rehabilitation Unit, Azienda Ospedale-Università Padova, Padua, Italy., Cianci V; Emergency Department, Azienda Ospedale-Università Padova, Padua, Italy., Pizziol A; Emergency Department, Azienda Ospedale-Università Padova, Padua, Italy., Pala E; Orthopedics and Orthopedic Oncology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Cerchiaro M; Orthopedics and Orthopedic Oncology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Savino S; Department of Medicine, Università Di Padova, Padua, Italy., Tessarin M; Department of Directional Hospital Management, Azienda Ospedale-Università Padova, Padua, Italy., Simioni P; Clinica Medica 1, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy., Sergi G; Geriatric Unit, Department of Medicine, University Hospital of Padova, Padua, Italy., Ruggieri P; Orthopedics and Orthopedic Oncology Unit, Azienda Ospedale-Università Padova, Padua, Italy., Giannini S; Clinica Medica 1, Department of Medicine, Azienda Ospedale-Università Padova, Padua, Italy.
Jazyk: angličtina
Zdroj: Journal of endocrinological investigation [J Endocrinol Invest] 2024 Jul 06. Date of Electronic Publication: 2024 Jul 06.
DOI: 10.1007/s40618-024-02425-z
Abstrakt: Purpose: Osteoporotic fragility fractures (FF), particularly those affecting the hip, represent a major clinical and socio-economic concern. These fractures can lead to various adverse outcomes, which may be exacerbated by the presence of sarcopenia, especially among older and frail patients. Early identification of patients with FF is crucial for implementing effective diagnostic and therapeutic strategies to prevent subsequent fractures and their associated consequences.
Methods: The Hip-POS program, implemented at Azienda Ospedale-Università Padova, is a Fracture Liaison Service (FLS) program to evaluate patients aged > 50 years old admitted with fragility hip fractures, involving an interdisciplinary team. After the identification of patients with hip fractures in the Emergency Department, a comprehensive evaluation is conducted to identify risk factors for further fractures, and to assess the main domains of multidimensional geriatric assessment, including muscle status. Patients are then prescribed with anti-fracture therapy, finally undergoing periodic follow-up visits.
Results: During the first five months, a total of 250 patients were evaluated (70.4% women, median age 85 years). Following assessment by the Hip-POS team, compared to pre-hospitalization, the proportion of patients not receiving antifracture therapy decreased significantly from 60 to 21%. The prescription rates of vitamin D and calcium increased markedly from 29.6% to 81%.
Conclusions: We introduced the Hip-POS program for the care of older adults with hip fractures. We aspire that our model will represent a promising approach to enhancing post-fracture care by addressing the multifactorial nature of osteoporosis and its consequences, bridging the gap in secondary fracture prevention, and improving patient outcomes.
(© 2024. The Author(s).)
Databáze: MEDLINE
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