Challenges in Osteoporosis Treatment Initiation in Geriatric Patients Admitted Under the Hip-fracture Pathway (66686)
Friday, 31 March 2023 15:45
Session: Poster
Room: Orion Hall
Presentation Type:Poster Presentation
Introduction
Osteoporosis represents a growing healthcare problem which is often overlooked by healthcare providers. This study aims to assess the rate of osteoporosis treatment initiation and investigate underlying barriers in the initiation of osteoporosis treatment in the elderly admitted for hip fracture.
Method
This is a retrospective study conducted in a local hospital in Singapore on patients aged 60 years old and above who were admitted under the hip-fracture pathway from January 2019 to December 2019. Data collected included demographics, co-morbidities, and laboratory data. Clinical charts were reviewed for whether bone mineral density (BMD) scans have been ordered and whether plans for bone health were made prior to discharge. The primary outcome measure was the prescription of osteoporosis treatment medications within 1 year from the date of admission. Prescription lists were reviewed for prescribing patterns of calcium and vitamin D.
Results
A total of 375 patients were identified. 281 patients who fit the inclusion and exclusion criteria with complete data were further analyzed. Within 1 year of hip fracture admission, 63(22.4%) of them were prescribed with osteoporosis treatment medications. Multivariate logistic regression identified milder stage of CKD (p=0.038, OR=0.617, 95% CI 0.392 – 0.973) and BMD scan performed (p<0.001, OR=6.515, 95% CI 3.180 – 13.348) as independent factors associated with the prescription of osteoporosis treatment within 1 year of hip fracture admission.
Conclusion
The rate of osteoporosis treatment initiation post hip fracture is low. Systematic solutions will need to be established to ensure that osteoporosis is addressed prior to discharge.
Authors:
Angela Frances, Hui Wen Yap, SingHealth Residency Program, Singapore
Bernard, Kok Chong Yap, SingHealth Residency Program, Singapore
Lissa Vazhayil Joseph, Singapore General Hospital, Singapore
Joyce, Suang Bee Koh, Singapore General Hospital, Singapore
Tet Sen Howe, Singapore General Hospital, Singapore
Kaysar Mamun, Singapore General Hospital, Singapore
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