Study: Tips to reduce risk of fracture in older patients
Up to 90% of older adults in nursing homes have osteoporosis, which increases the risk of fractures. More than 2 million fractures occur in the United States, and 75% of older patients who sustain a hip fracture require nursing home and home health care. In fact, over 2 million home health care visits are made as a result of followup care following hospitalization for fracture.
A study of literature and existing guidelines that can improve the bone strength of older patients who have experienced a previous fracture identifies useful tools and treatment regimens than can be implemented following a fracture and diagnosis of osteoporosis.1
Osteoporosis medications reduce the risk of fracture in senior adults, but therapy is given to only 10%-20% of nursing home residents with osteoporosis or a recent fracture. The use of calcium and vitamin D in this population is higher, but the doses provided may not be sufficient based on current recommendations.
The authors identify the gap between treatment guidelines and current quality of care and provide an algorithm for the assessment and care of nursing home and home health care patients with a prior fracture.
Reference
1. Warriner AH, Outman RC, Saag KG, et al. Management of osteoporosis among home health and long-term care patients with a prior fracture. Southern Medical Journal 2009; 102: 397-404.
Up to 90% of older adults in nursing homes have osteoporosis, which increases the risk of fractures. More than 2 million fractures occur in the United States, and 75% of older patients who sustain a hip fracture require nursing home and home health care. In fact, over 2 million home health care visits are made as a result of followup care following hospitalization for fracture.You have reached your article limit for the month. Subscribe now to access this article plus other member-only content.
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