Bone health among older persons in medical clinic: A clinical audit
- Author:
Cheng Lay Teh
1
;
Seow Lin Chuah
;
Hong Khoh Lee
;
Sharifah Aishah binti Wan Mohd Akbar
;
Tze Shin Leong
;
Florence Hui Sieng Tan
;
Bik Kui Lau
Author Information
- Publication Type:Case Reports
- Keywords: osteoporosis risk assessment; FRAX; fractures
- From: The Medical Journal of Malaysia 2020;75(2):191-193
- CountryMalaysia
- Language:English
- Abstract: Osteoporosis is commonly underdiagnosed and undertreated. We performed a clinical audit to assess the risk factors and clinical care for osteoporosis among older persons who attended medical clinic during a 4-week period in August 2013. There was a total of 128 patients with a mean age of 73.1±5.8 years, and 20.3%. had a history of fall. Fracture Risk Assessment Tool (FRAX) scores assessment showed 14.2% and 68.8% had a 10-year risk of major osteoporotic and hip fractures respectively. Only 6.3% underwent Dual-energy X-ray absorptiometry (DXA) and 73.4% did not receive any preventive treatment for osteoporosis. Older persons attending medical clinic at high risk of osteoporosis fractures did not receive appropriate screening and treatment. There is a need to improve the suboptimal care for bone health among older persons.
