Cross-sectional study of secondary prevention of osteoporotic fractures in the elderly in two hospitals of Liaoning province
10.3760/cma.j.cn115455-20200606-00712
- VernacularTitle:辽宁省两所医院老年骨质疏松性骨折患者再骨折预防现状的横断面研究
- Author:
Wei CUI
1
;
Ya′nan LIU
;
Ce ZHANG
;
Xiaoyun GAO
;
Kunpeng RUAN
;
Chunyu ZHANG
Author Information
1. 大连医科大学附属第二医院老年科 116023（现在西安医学院第二附属医院内分泌科 710038）
- From:
Chinese Journal of Postgraduates of Medicine
2020;43(12):1065-1068
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the diagnosis and treatment of osteoporotic fractures in the elderly in two third Grade A hospitals in Shenyang and Dalian, and to provide scientific basis for prevention and treatment of osteoporotic fractures in Dalian and Shenyang.Methods:Patients of osteoporotic fractures over 60 years old from January 2015 to December 2015 in the Second Hospital of Dalian Medical University and the People′s Hospital of Liaoning Province were chosen, and the basic characteristics, fracture site, the number of fracture site, diagnosis treatment and secondary prevention of osteoporosis fractures of them were analyzed.Results:Among the patients of osteoporotic fractures over 60 years old in the hospitals of Shenyang and Dalian, women were more than men ( P = 0.00). The predilection sites of elderly osteoporotic fractures in two hospitals were both followed by the hip, spine, ulnar and radial distal, proximal humerus. The rates respectively were 38.26%(295/771), 34.63% (267/771), 9.34%(72/771), 5.71%(44/771). The rate of fracture-again was 10.89%(84/771). The rates of in-hospital diagnosis, in-hospital treatment and treatment of discharged medical advice among osteoporosis were 13.88%(107/771), 24.64%(190/771) and 18.81%(145/771). There were 0.65% (5/771) patients who had diagnosis of osteoporosis, basic osteoporosis treatment (vitamin D 3 and calcium) and anti-osteoporosis treatment in both in-hospital and discharged medical advice. Conclusions:The rates of in-hospital diagnosis, in-hospital osteoporosis treatment and anti-osteoporosis treatment in discharged medical advice are both very low in the two third Grade A hospitals. The secondary prevention of osteoporosis fractures in the elderly has not been taken attention, and the situation of prevention and treatment are serious.
