Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.
Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.
复制标题
骨质疏松症的治疗：错过了医院骨折门诊的机会。
DOI：
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发表时间：
2004
影响因子：
1.4
通讯作者：
D. Lang
中科院分区：
文献类型：
--
作者：
M. Smith;P. Dunkow;D. Lang
目的
旨在确定在最初发生桡骨远端脆性骨折和随后发生股骨颈骨折的患者中，有多少比例的患者在两次事件之间的时间间隔内接受了骨质疏松症治疗。
患者和方法
医院电子信息系统用于识别 1995 年至 2000 年间在我们骨折诊所接受远端桡骨骨折治疗的所有年龄超过 50 岁的患者。此外，同一时间段内入院的所有患者均出现股骨颈骨折。
结果
确定了一个由 74 名患者组成的研究队列。在手腕和股骨颈骨折期间接受骨质疏松症检查或治疗的患者比例为 8%，而 84% 的患者没有这样做。
结论
目前在股骨颈骨折之前识别骨质疏松症患者的机制还不够。
AIM
To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events.
PATIENTS AND METHODS
The hospital electronic information system was used to identify all patients aged over 50 years treated for a distal radial fracture, in our fracture clinic, between 1995-2000. In addition all patients admitted to our hospital, during the same time period, with a femoral neck fracture were identified.
RESULTS
A study cohort of 74 patients were identified. The proportion of patients who received investigation of, or treatment for, osteoporosis between their wrist and femoral neck fracture was 8% whereas 84% did not.
CONCLUSIONS
Current mechanisms for identifying patients with osteoporosis before they sustain a femoral neck fracture are inadequate.