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Observational Study
. 2022 Jul-Aug;57(4):205-211.
doi: 10.1016/j.regg.2022.06.006. Epub 2022 Jul 22.

Profile and 3-month evolution of geriatric patients after a hip fracture followed-up at a Fracture Liaison Service (FLS)

Debora Moral-Cuesta  1 , Alicia Gutiérrez-Misis  2 , Bernardo Abel Cedeno-Veloz  3 , Priscila Matovelle-Ochoa  4 , Itxaso Marin Epelde  5 , Teresa Alarcón Alarcón  6 , Jesús Díez-Sebastián  7 , Arkaitz Galbete  8 , Isabel Martin Maestre  9 , Nicolás Martínez Velilla  3 , Juan Ignacio González-Montalvo  6
Affiliations
Observational Study

Profile and 3-month evolution of geriatric patients after a hip fracture followed-up at a Fracture Liaison Service (FLS)

Debora Moral-Cuesta et al. Rev Esp Geriatr Gerontol. 2022 Jul-Aug.

Abstract

Introduction: There are few studies on Fracture Liaison Service (FLS) that evaluate older patients after a hip fracture (HF) through comprehensive geriatric assessment. We aim to determine these patients' characteristics, outcomes, and prescribed treatments.

Methods: A retrospective observational study of a cohort of patients older than 65 years admitted with HFs to an orthogeriatric unit between February 25th (2013) and December 16th (2016). After hospitalization, those patients with a good baseline social, functional, and cognitive situation were referred to the FLS. A comprehensive geriatric assessment and treatment adjustment were conducted. A comparison between FLS patients and HF patients non-referred was made.

Results: From 1887 patients admitted to the orthogeriatric unit, 469 (23%) were referred to the FLS. Of those, 335 were women (77.2%) and 337 (77.6%) lived in the community. The FLS patients had a better functional status (97.1% of the patients with independent gait versus 79.2%) than non-FLS patients (p<0.001). After 3 months in the FLS, 356 (82%) patients had independent gait and had improved their analytical values. Antiosteoporotic treatment was prescribed to 322 patients (74%), vitamin D supplements to 397 (91.5%), calcium to 321 (74%), and physical exercise to 421 (97%).

Conclusions: Patients referred to an FLS were younger, with a better functional and cognitive situation. At hospital discharge, they frequently presented gait impairment and laboratory abnormalities (anemia, hypoproteinemia, vitamin D deficiency) that presented good recovery due to the patient's previous baseline. These patients benefit from comprehensive treatment (pharmacological and non-pharmacological).

Keywords: Aging; Envejecimiento; Fractura de cadera; Fractura por fragilidad; Frailty fracture; Geriatric assessment; Hip fracture; Prevención secundaria; Secondary prevention; Valoración geriátrica.

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