$Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile$
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Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile

Background: Hip fractures are the most severe complication of osteoporosis, yet patients who suffer hip fracture rarely receive adequate treatment. Aim: To assess diagnosis and treatment of osteoporosis in patients with hip fracture. Patients and methods: a retrospective study in 203 patients admitt...

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Autores principales:	Rodríguez P,José Adolfo, Borzutzky S,Arturo, Barnett T,Carolina, Marín L,Pedro Paulo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Aged Frail elderly Hip fractures Osteoporosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700009
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spelling	oai:scielo:S0034-988720030007000092004-12-13Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en ChileRodríguez P,José AdolfoBorzutzky S,ArturoBarnett T,CarolinaMarín L,Pedro Paulo Aged Frail elderly Hip fractures Osteoporosis Background: Hip fractures are the most severe complication of osteoporosis, yet patients who suffer hip fracture rarely receive adequate treatment. Aim: To assess diagnosis and treatment of osteoporosis in patients with hip fracture. Patients and methods: a retrospective study in 203 patients admitted for hip fracture surgery at two medical institutions in Santiago, Chile. Clinical data from 101 patients from the Hospital Clínico Pontificia Universidad Católica de Chile (a university tertiary care hospital, HCPUC) and 102 patients from Hospital de Urgencia de la Asistencia Pública (a public emergency hospital, HUAP) were reviewed. We also evaluated incidence of new fractures, further treatment of osteoporosis and functionality, by means of a telephonic survey of 48% of patients (n=99) 12.3±5.3 months after hip fracture in HCPUC and 16.5±3.0 months for HUAP. Results: A previous diagnosis of osteoporosis was present in 2.9% and 1% of cases, and treatment prior to fracture in 3.9% and 0% of cases from HCPUC and HUAP, respectively. None of the patients in HUAP were diagnosed with osteoporosis during hospital stay or given treatment for this condition at discharge, in comparison to 0.9% (n=1) and 2% (n=2), respectively, in HCPUC. Seven and six percent of cases presented prior hip fractures. Telephonic follow up of patients revealed that 75.6% persisted without treatment for osteoporosis. At follow up, 2.9% and 3% of patients in HCPUC and HUAP had presented new hip fractures. At the time of survey 30.9% and 34% of patients, respectively, were considered invalid. Conclusions: Missed diagnosis and failure to treat osteoporosis occurred in over 90% of patients admitted for hip fracture, regardless of the different complexities in the hospitals of admission. The data suggest that lack of medical action on these issues may play a role in failure to prevent new hip fractures (Rev Méd Chile 2003; 131: 773-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.7 20032003-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700009es10.4067/S0034-98872003000700009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Frail elderly Hip fractures Osteoporosis
spellingShingle	Aged Frail elderly Hip fractures Osteoporosis Rodríguez P,José Adolfo Borzutzky S,Arturo Barnett T,Carolina Marín L,Pedro Paulo Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
description	Background: Hip fractures are the most severe complication of osteoporosis, yet patients who suffer hip fracture rarely receive adequate treatment. Aim: To assess diagnosis and treatment of osteoporosis in patients with hip fracture. Patients and methods: a retrospective study in 203 patients admitted for hip fracture surgery at two medical institutions in Santiago, Chile. Clinical data from 101 patients from the Hospital Clínico Pontificia Universidad Católica de Chile (a university tertiary care hospital, HCPUC) and 102 patients from Hospital de Urgencia de la Asistencia Pública (a public emergency hospital, HUAP) were reviewed. We also evaluated incidence of new fractures, further treatment of osteoporosis and functionality, by means of a telephonic survey of 48% of patients (n=99) 12.3±5.3 months after hip fracture in HCPUC and 16.5±3.0 months for HUAP. Results: A previous diagnosis of osteoporosis was present in 2.9% and 1% of cases, and treatment prior to fracture in 3.9% and 0% of cases from HCPUC and HUAP, respectively. None of the patients in HUAP were diagnosed with osteoporosis during hospital stay or given treatment for this condition at discharge, in comparison to 0.9% (n=1) and 2% (n=2), respectively, in HCPUC. Seven and six percent of cases presented prior hip fractures. Telephonic follow up of patients revealed that 75.6% persisted without treatment for osteoporosis. At follow up, 2.9% and 3% of patients in HCPUC and HUAP had presented new hip fractures. At the time of survey 30.9% and 34% of patients, respectively, were considered invalid. Conclusions: Missed diagnosis and failure to treat osteoporosis occurred in over 90% of patients admitted for hip fracture, regardless of the different complexities in the hospitals of admission. The data suggest that lack of medical action on these issues may play a role in failure to prevent new hip fractures (Rev Méd Chile 2003; 131: 773-8)
author	Rodríguez P,José Adolfo Borzutzky S,Arturo Barnett T,Carolina Marín L,Pedro Paulo
author_facet	Rodríguez P,José Adolfo Borzutzky S,Arturo Barnett T,Carolina Marín L,Pedro Paulo
author_sort	Rodríguez P,José Adolfo
title	Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
title_short	Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
title_full	Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
title_fullStr	Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
title_full_unstemmed	Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile
title_sort	falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en chile
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700009
work_keys_str_mv	AT rodriguezpjoseadolfo faltadereconocimientodeosteoporosisyomisiondetratamientoenadultosmayoresconfracturadecaderaenchile AT borzutzkysarturo faltadereconocimientodeosteoporosisyomisiondetratamientoenadultosmayoresconfracturadecaderaenchile AT barnetttcarolina faltadereconocimientodeosteoporosisyomisiondetratamientoenadultosmayoresconfracturadecaderaenchile AT marinlpedropaulo faltadereconocimientodeosteoporosisyomisiondetratamientoenadultosmayoresconfracturadecaderaenchile
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Falta de reconocimiento de osteoporosis y omisión de tratamiento en adultos mayores con fractura de cadera en Chile

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