Osteoporosis treatment in older adults undergoing rehabilitation post-hip fracture

CER3539
2009 Vol.27, N°2
PI 0277, PF 0283
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PMID: 19473569 [PubMed]

Abstract

OBJECTIVES:
Osteoporosis treatment in patients who have sustained a hip fracture has been reported to be less then 20%. The objective of this study is to determine the current rate of adherence to osteoporosis practice guidelines in elderly patients post-hip fracture who have undergone rehabilitation.
METHODS:
This was a retrospective chart review of patients over the age of 65 who were admitted to a rehabilitation facility post fragility hip fracture between 2004 and 2005. One hundred and sixty-three patient charts were chosen for review. Treatment rates, reported descriptively, and predictors of guideline adherence, using multi-variant regression models, are reported.
RESULTS:
Osteoporosis therapy (any type) was prescribed to 90 (63%) patients, with bisphosphonates prescribed in 90% of these cases. Calcium and vitamin D was prescribed to 130 (90.9%) patients. Of all the study patients, 76 (53%) of patients had at least one contraindication to osteoporosis therapy identified. Having a diagnosis of osteoporosis was the only factor associated with receiving osteoporosis therapy (OR 13.3, p<0.001).
CONCLUSIONS:
In this selected patient population the rates of osteoporosis treatment are higher than previously reported but remain suboptimal.