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. 2022 Apr;191(2):759-764.
doi: 10.1007/s11845-021-02607-1. Epub 2021 Mar 26.

A multi-site review of second hip fractures across 6 Dublin teaching hospitals

Colum Downey  1 , Stephen Flannery  2 , Ben Murphy  3 , Tiarnan Daly  4 , Sarah Conway  5 , Mohammed Gaffar  6 , Peter Dawson  7 , Patrick O'Kelly  8 , Denis Collins  5 , Paddy Kenny  4 , Tom McCarthy  6 , James Cashman  7 , Conor Shortt  9 , Brendan O'Daly  2 , Conor Hurson  3 , John Quinlan  2
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A multi-site review of second hip fractures across 6 Dublin teaching hospitals

Colum Downey et al. Ir J Med Sci. 2022 Apr.

Abstract

Introduction: Fragility hip fractures are common and costly. Secondary fracture prevention is a treatment goal following hip fracture; however, the number of those that proceed to fracture their contralateral hip in Ireland is unknown. There are plans to introduce a Fracture Liaison Service Database in Ireland which will aim to prevent secondary fractures. To establish a baseline figure for secondary hip fractures, the injury radiographs of 1284 patients from 6 teaching hospitals over a 1-year period were reviewed.

Methods: Irish Hip Fracture Datasheets and corresponding injury radiographs were reviewed locally for all hip fractures within each respective teaching hospital for a 1-year period (2019).

Results: A total of 8.7% of all fragility hip fractures across the 6 hospitals were secondary hip fractures (range 4.9-11.5%). 46% occurred within years 1 to 3 following index hip fracture. Forty-eight per cent of patients were started on bone protection medications following their second hip fracture.

Discussion/conclusion: Approximately 1 in 11 hip fractures treated across the 6 teaching hospitals assessed in 2019 was a patient's second hip fracture. We advocate for the widespread availability of Fracture Liaison Services to patients throughout Ireland to assist secondary fracture prevention.

Keywords: Fracture liaison service database; Fracture liaison services; Hip fracture; Irish hip fracture database; Secondary fracture prevention.

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