2.50
Hdl Handle:
http://hdl.handle.net/2336/32559
Title:
Outcomes and secondary prevention strategies for male hip fractures
Authors:
Riley, Rebecca L; Carnes, Molly L; Gudmundsson, Adalsteinn; Elliott, Mary E
Citation:
Ann Pharmacother. 2002, 36(1):17-23
Issue Date:
1-Jan-2002
Abstract:
OBJECTIVE: To assess clinical outcomes and determine whether osteoporosis assessment and secondary prevention strategies were performed for male veterans hospitalized for hip fractures. DESIGN: Retrospective chart review for male veterans hospitalized for hip fracture from January 1993 through July 1999. SETTING: The Veterans Affairs Medical Center, Madison, WI. RESULTS: Medical charts were available for 46 of 53 male patients admitted for hip fracture during the study period. Three subjects were excluded because hip fracture was associated with high-impact trauma. Mean age of the 43 study patients was 72 years (range 43-91 y), and mean length of hospitalization was 16 days (median 11 d, range 3-108 d). Thirty-two (82%) of 39 veterans whose disposition was documented were discharged to a nursing home. Eleven (26%) of 43 men died within 12 months after fracture. Twelve (28%) had fractured previously. Four (10%) subsequently had another fracture. Three of 9 patients with documented ambulation status were ambulatory at 1 year. Three patients received a bone mass measurement within a prespecified time interval of 6 months subsequent to fracture. No patient's records included a diagnosis of osteoporosis either before or within 6 months after fracture. One-third of the patients had documentation of calcium or multivitamin supplementation at discharge. One patient was receiving calcitonin at the time of fracture and continued to receive it afterward. No other patient was prescribed antiresorptive therapy by the time of hospital discharge. CONCLUSIONS: Male veterans with hip fractures received inadequate evaluation and treatment for osteoporosis, although a substantial portion had documentation of recurrent fractures. Education of clinicians and creation of algorithms for management of established osteoporosis may improve outcomes for these individuals.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.theannals.com/cgi/content/abstract/36/1/17

Full metadata record

DC FieldValue Language
dc.contributor.authorRiley, Rebecca L-
dc.contributor.authorCarnes, Molly L-
dc.contributor.authorGudmundsson, Adalsteinn-
dc.contributor.authorElliott, Mary E-
dc.date.accessioned2008-07-21T12:01:22Z-
dc.date.available2008-07-21T12:01:22Z-
dc.date.issued2002-01-01-
dc.date.submitted2008-07-21-
dc.identifier.citationAnn Pharmacother. 2002, 36(1):17-23en
dc.identifier.issn1060-0280-
dc.identifier.pmid11816248-
dc.identifier.doi10.1345/aph.1A094-
dc.identifier.urihttp://hdl.handle.net/2336/32559-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractOBJECTIVE: To assess clinical outcomes and determine whether osteoporosis assessment and secondary prevention strategies were performed for male veterans hospitalized for hip fractures. DESIGN: Retrospective chart review for male veterans hospitalized for hip fracture from January 1993 through July 1999. SETTING: The Veterans Affairs Medical Center, Madison, WI. RESULTS: Medical charts were available for 46 of 53 male patients admitted for hip fracture during the study period. Three subjects were excluded because hip fracture was associated with high-impact trauma. Mean age of the 43 study patients was 72 years (range 43-91 y), and mean length of hospitalization was 16 days (median 11 d, range 3-108 d). Thirty-two (82%) of 39 veterans whose disposition was documented were discharged to a nursing home. Eleven (26%) of 43 men died within 12 months after fracture. Twelve (28%) had fractured previously. Four (10%) subsequently had another fracture. Three of 9 patients with documented ambulation status were ambulatory at 1 year. Three patients received a bone mass measurement within a prespecified time interval of 6 months subsequent to fracture. No patient's records included a diagnosis of osteoporosis either before or within 6 months after fracture. One-third of the patients had documentation of calcium or multivitamin supplementation at discharge. One patient was receiving calcitonin at the time of fracture and continued to receive it afterward. No other patient was prescribed antiresorptive therapy by the time of hospital discharge. CONCLUSIONS: Male veterans with hip fractures received inadequate evaluation and treatment for osteoporosis, although a substantial portion had documentation of recurrent fractures. Education of clinicians and creation of algorithms for management of established osteoporosis may improve outcomes for these individuals.en
dc.language.isoenen
dc.publisherHarvey Whitney Books Co.en
dc.relation.urlhttp://www.theannals.com/cgi/content/abstract/36/1/17en
dc.subject.meshAbsorptiometry, Photonen
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAlcohol Drinkingen
dc.subject.meshBone Densityen
dc.subject.meshBone Resorptionen
dc.subject.meshFemaleen
dc.subject.meshHip Fracturesen
dc.subject.meshHospitals, Veteransen
dc.subject.meshHumansen
dc.subject.meshHypogonadismen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshOsteoporosisen
dc.subject.meshRetrospective Studiesen
dc.subject.meshRisk Factorsen
dc.subject.meshTreatment Outcomeen
dc.subject.meshVitamin D Deficiencyen
dc.titleOutcomes and secondary prevention strategies for male hip fracturesen
dc.typeArticleen
dc.contributor.departmentVeterans Affairs Medical Center, Cincinnati, OH, USA. meelliott@pharmacy.wisc.eduen
dc.identifier.journalAnnals of pharmacotherapyen

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