One-year impact of osteoporotic hip fracture and practices of post-fracture osteoporosis management: a snapshot from a single Irish centre
Shehla Farrukh, Mohsin Ashraf, Muhammad Haroon
Division of Rheumatology, Department of medicine, University Hospital Kerry, Tralee
Hip fractures, which are potentially avoidable are one of the most devastating complications of osteoporosis.
To assess one-year mortality and morbidity of hip fractures
To observe the practices of osteoporosis management post-hip fracture
Patients presented in University Hospital Kerry with hip fractures from January 2014 through to December 2014 (one year) were identified, and contacted by telephone. A short interview was carried out to assess the mortality and morbidity impact of osteoporotic hip fractures, especially on their level of functionality.
During the study period, 127 individuals were admitted with hip fractures, with a mean age 78.6±11 years, and females predominance (67%). At the time of assessment, 35.4% (n=45) of patients had died, and the rest of patients (n=82) underwent interview assessments. Prior to hip fracture, only 18% of these patients were known to have osteoporosis; 23.6% of patients had previous fragility fractures; and only 3% (n=4) of patients were using pharmacologic treatment for osteoporosis. Post hip fracture, only 27% (n=22) of patients were using pharmacologic osteoporotic treatment. Since hip fracture, only 24% of patients returned to their baseline functional level, and 28% ended up in long-term residential care. Patients with prior fragility fracture were significantly more likely to die within one year (p=0.008)
Osteoporosis-related hip fractures are associated with significant mortality and functional decline but remain poorly managed. Prior fracture in such patients was found to have significant association with mortality.