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논문 기본 정보

자료유형
학술저널
저자정보
Tanawat Amphansap (Department of Orthopedics Police General Hospital) Nitirat Stitkitti (Department of Orthopedics Police General Hospital Bangkok 10330 Thailand) Peerachai Dumrongwanich (Department of Orthopedics Police General Hospital Bangkok 10330 Thailand)
저널정보
대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.2 No.4
발행연도
2016.1
수록면
238 - 243 (6page)

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Objectives: The purpose of the study was to assess the effectiveness of the Fracture Liaison service (FLS) in preventing secondary fracture and decreasing 1-year mortality rate after osteoporotic hip fracture, in patients at Police General Hospital, Bangkok, Thailand. Methods: A prospective cohort study was conducted. We studied male and female patients, 50 years of age and older, who presented with a fragility fracture around the hip due to low energy trauma and were admitted to Police General Hospital, participating in PGH's Liaison service from April 1, 2014eMarch 30, 2015. The sample size was 75 patients, with a follow up time of 1 year. The data from this study was compared with that of a previous study done by Tanawat A. et al. [9] prior to commencement of the FLS project. Results: After a follow up period of 1 year, the mortality rate was measured to be 10.7% and there was no evidence of secondary fragility fracture. Post-injury bone mineral density follow up and osteoporotic medication treatment rates were 48% and 80%, respectively. Patients who participated in the project were found to have a decreasing rate of secondary fracture from 30% to 0%(P < 0.0001), an increasing post-injuryBMDfollowup rate from 28.3% to 48% (P ¼ 0.0053), and an increase in post-injury osteoporotic medication administration rate from 40.8% to 80% (P ¼ 0.0148), all with statistical significance. However, the 1-year mortality rate was not significant (P ¼ 0.731) when compared to the previous study. Conclusions: Patients with recent hip fractures participating in the Fracture Liaison service had a significantly higher post-injury BMD follow up and osteoporotic medication administration rates. This resulted in a lower risk of secondary fracture than those who did not participate in the Fracture Liaison service at a follow up time of one year.

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참고문헌 (15)

참고문헌 신청
Bliuc D / 2013 / Compound risk of high mortality following osteoporotic fracture and refracture in elderly women and men / J Bone Miner Res 28:2317~2324 google schola Lee Y-K / 2012 / Mortality after vertebral fracture in Korea / Osteoporos Int 23:1859~1865 google schola Lee Young-Kyun / 2014 / Five-year relative survival of patients with osteoporotic hip fracture / J Clin Endocrinol Metab 99:97~100 google schola Wongtriratanachai P / 2013 / Increasing incidence of hip fracture in Chiang Mai / Thail J Clin Densitom 16:347~352 google schola Lonnroos E / 2007 / Incidence of second hip fractures. A population-based study / Osteoporos Int 18:1279~1285 google schola

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