Application of multidisciplinary integrated fracture liaison service in the prevention of postoperative refracture after osteoporotic vertebral compression fractures
10.3760/cma.j.cn115682-20231102-01828
- VernacularTitle:多学科一体化骨折联络服务在骨质疏松椎体压缩性骨折术后再骨折预防中的应用
- Author:
Lulu CAI
1
;
Guan SHI
;
Weiwei SONG
Author Information
1. 首都医科大学附属友谊医院急诊科，北京 100050
- Keywords:
Osteoporosis;
Compression fracture;
Multidisciplinary collaboration;
Fracture liaison service;
Refracture;
Percutaneous vertebroplasty
- From:
Chinese Journal of Modern Nursing
2024;30(28):3901-3907
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of multidisciplinary integrated fracture liaison services in preventing postoperative refracture after osteoporotic vertebral compression fractures (OVCF) .Methods:Using the convenient sampling method, a total of 230 OVCF patients who were admitted to Orthopedics Department of Beijing Friendship Hospital Affiliated to Capital Medical University from March 2022 to August 2023 were selected and they were randomly divided into the control group and the observation group by the random number table method, with 115 patients in each group. The control group received routine follow-up management after surgery, while the observation group received multidisciplinary integrated fracture liaison services on the basis of the control group, with an intervention period of 1 year for both groups. Before and after intervention, Osteoporosis Knowledge Tests (OKT), Oswestry disability index (ODI), and lumbar quantitative computed tomography (QCT) were used to evaluate the osteoporosis knowledge level, lumbar spine function and bone density of the two groups. After a one-year follow-up, the incidence of recurrent fractures was compared between the two groups.Results:A total of 7 cases fell off during the intervention period, and 110 cases were collected in the control group and 113 cases in the observation group. After intervention, the total score of OKT and the scores of all dimensions in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05). After intervention, the ODI score of the observation group was lower than that of the control group, and the bone density value was higher than that of the control group, and the differences were statistically significant ( P<0.05). The incidence of recurrent fractures in the control group and observation group was respectively 20.91% (23/110) and 7.96% (9/113), and the difference was statistically significant ( P<0.05) . Conclusions:Multidisciplinary integrated fracture liaison services can effectively improve the knowledge level and bone density of postoperative patients with OVCF, improve lower back function and reduce the occurrence of recurrent fractures.
