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· DOS Abstracts
Evaluation of a Fracture Liaison Service with
osteoporosis-nurses screening hospitalized
hip fracture patients for later follow-up in the
osteoporosis outpatient clinic
Jette Nielsen, Dorthe Sørensen, Lars Hyldstrup, Jens -Erik Beck Jensen, Henrik
Palm
The Osteoporosis Clinic, Department 545, Copenhagen University Hvidovre
Hospital; Hip Fracture Unit,Department of Orthopaedics, Copenhagen University
Hvidovre Hospital
Background:
Hip fracture (HF) patients have a high risk of sustaining other
fractures already within the first postop. year, but early initiation of osteopo-
rosis treatment might reduce the risk. Literature often describes sub-optimal
osteoporosis evaluation and treatment initiation following HFs, with only around
10-15% of HF-patients starting anti-osteoporotic treatment.
Purpose / Aim of Study:
We hypothesized that our Fracture Liaison Service
(FLS) resulted in a higher rate of osteoporosis treatment.
Materials andMethods:
Our FLS consists of two nurses fromThe Osteoporosis
Clinic visiting the HF- Unit, located as a separate ward within the Dep. of
Orthopaedics. All patient records are evaluated by the two FLS- nurses bi-
weekly with use of a developed FLS-algorithm evaluating mental status, age
and co-morbidities. Relevant patients are then bedside by the two FLS-nurses
offered an outpatient clinic visit in the Dep. of Osteoporosis scheduled within
3-6 months postop. Here DXA-scans and blood samples are taken before the
osteoporosis specialists examine and treat the patients.
Findings / Results:
All 524 consecutive HF-patients admitted during 2014
were evaluated by the two FLS-nurses, who found 75% (393/524) to be can-
didates for an invitation to a follow-up visit in the osteoporosis outpatient clinic,
59% (312/524) accepted the invitation and were scheduled for a follow-up
visit. 34% (178/524) met for examination in the outpatient clinic, where 22%
(113/524) were given anti-osteoporotic treatment. This latter increased from
16% in 2013.
Conclusions:
With this FLS-model, we reached a slightly higher rate of anti-
osteoporotic treatment than most often described among HF-patients. The
large group of invited patients not showing up in the outpatient clinic is a chal-
lenge and new actions are required to further increase the osteoporosis treat-
ment subsequent to HFs.
No conflicts of interest reported
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