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Master Thesis

Failure in osteoporosis management after hip fracture

Abstract : Objectives: Osteoporosis is a frequent disease with high mortality and morbidity rates, especially after hip fracture. The goal of this study was to evaluate antiresorptive therapy prescription in the year following a hip fracture, the 1-year mortality and the readmission rate after the fracture. Method: This retrospective cohort study in a large French urban area recruited patients of 65 years old and older, hospitalized for hip fracture between 1 July 2012 and 30 June 2013. Follow-up lasted one year. Data concerning treatment were provided by public health insurance agency. Results: On the 561 patients discharged for hip fracture, 367 were included and 345 were followed-up for 1 year. Over the 1-year period, 15 patients (4,3% (95%confidence interval [CI], 2,5%-7,1%)) received antiresorptive drugs at any time, 51,6% (95%CI, 46,2%-57,0%) and 16,5% (95%CI, 12,8%-20,9%) for vitamin D and calcium respectively. During the 1-year follow-up period, 105 patients (28,6% (95%CI, 24,3%-33,5%)) died. Readmissions concerned 195 patients (56,5% (95%CI, 50,5%-62,5%)) in the year following the fracture. Conclusion: Our findings indicate that osteoporosis management after hip fracture suffers from severe insufficiency and that mortality stays elevated in the first year. Causalities of this non-management should be considered in future studies.
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Master Thesis
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Submitted on : Monday, June 1, 2015 - 10:12:40 AM
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  • HAL Id : dumas-01158412, version 1


Benjamin Bonne. Failure in osteoporosis management after hip fracture. Human health and pathology. 2014. ⟨dumas-01158412⟩



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