Effect of fracture liaison service in elderly patients with fragile hip fractures: a Meta-analysis
10.3760/cma.j.cn115682-20230420-01550
- VernacularTitle:骨折联络服务在老年脆性髋部骨折患者中应用效果的Meta分析
- Author:
Linlin ZHANG
1
;
Yanling ZHOU
;
Yanlin GU
;
Guangfei LI
;
Yue ZHANG
;
Daoming CHEN
;
Qing LIU
Author Information
1. 苏州大学医学院护理学院，苏州 215006
- Keywords:
Meta-analysis;
Fragile hip fracture;
Fracture liaison service;
Medication adherence;
Hip function;
Systematic review
- From:
Chinese Journal of Modern Nursing
2023;29(35):4828-4835
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the effect of fracture liaison service (FLS) in elderly patients with fragile hip fractures, so as to provide reference for clinical decision-making.Methods:By combining subject terms and free terms, electronic searches were conducted on China National Knowledge Infrastructure, WanFang Data, VIP, China Biomedical Literature Database, PubMed, Embase, Cochrane Library and Web of Science. The included references were manually retrieved using the snowball method. The retrieval time was from the establishment of the database to March 1, 2023. Two researchers screened articles based on inclusion and exclusion criteria, extracted data, and evaluated the quality of articles, using RevMan5.4 software for statistical analysis.Results:A total of 15 articles were included, totaling 4 333 patients with fragile hip fractures, with a follow-up time of ≥3 months. Meta-analysis showed that FLS could improve patient medication compliance [ RR=2.32, 95% CI (1.74, 3.11) , P<0.01] and hip function [ SMD=1.20, 95% CI (0.93, 1.47) , P<0.01] , reduce mortality [ RR=0.70, 95% CI (0.58, 0.84) , P<0.01] and the occurrence of refractures [ RR=0.44, 95% CI (0.32, 0.61) , P<0.01] , with statistical differences. Conclusions:Compared with routine nursing for fragile hip fractures, FLS can improve medication compliance and hip function, decrease mortality and the occurrence of refractures in patients with fragile hip fractures.
