300 ESTABLISHING THE PREVALENCE OF OSTEOPOROTIC FRACTURES IN IRELAND

Autor: S Bhujwalla, J Sorensen, JJ Carey, F Dockery
Rok vydání: 2022
Předmět:
Zdroj: Age and Ageing. 51
ISSN: 1468-2834
0002-0729
Popis: Background Fragility/low-trauma fractures are a major burden on health care, yet many could be prevented through Fracture Liaison Services (FLS). An Irish national FLS database (FLSDB) has recently been established and a reliable estimate of fracture numbers per locality is needed to measure FLS efficiency. Currently the Irish FLSDB uses the UK estimate of 1:4 hip vs. non-hip fracture numbers. We wanted to explore its accuracy in an Irish population. Methods We looked at all plain x-ray reports from six individual weeks across two years in our hospital. We selected those aged >50yrs with a reported new fracture. We determined the ratio of hip:non-hip fractures and of those admitted vs. discharged. We cross checked these against admitted fracture numbers from NQAIS (National Quality Assurance Information System) for the same 6 weeks. We then looked at all admissions Irish Emergency Departments during 2018-2019 with a new fracture aged >50yrs. We compared hip:non-hip fracture ratio of these vs. our local data. Results From 7,654 x-ray reports, 222 new fracture patients were identified. An additional 29 patients sustained fractures during this time period, either CT/MRI diagnoses or managed as fractures despite negative radiology report. NQAIS missed 21 admitted fractures (uncoded). The ratio admitted:discharged fractures in our audit was 2:3. Ratio of patients with hip:non-hip fractures was 1:9.5. Nationally there were 33,627 fracture patients aged >50y admitted to Irish hospitals in 2018-9, and of these, the hip:non-hip fracture ratio was 1:3. Adding estimated numbers of fracture patients not admitted (based on our local data) gives at least a 1:9 hip:non-hip ratio nationally. Conclusion Fracture numbers in Ireland are markedly underestimated if extrapolating from UK estimates. This has implications for service planning for Irish FLS, if rising fracture numbers are to be addressed.
Databáze: OpenAIRE
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