The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study
Objectives: The purpose of the study is to assess the effectiveness of fracture liaison service (FLS) after 5-year implementation to close the secondary fracture care gap, ensuring that patients receive osteoporosis assessment, intervention, and treatment, therefore, reducing the fracture risk at Po...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Osteoporosis and Sarcopenia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405525520301047 |
| _version_ | 1818597085244555264 |
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| author | Tanawat Amphansap Nitirat Stitkitti Alisara Arirachakaran |
| author_facet | Tanawat Amphansap Nitirat Stitkitti Alisara Arirachakaran |
| author_sort | Tanawat Amphansap |
| collection | DOAJ |
| description | Objectives: The purpose of the study is to assess the effectiveness of fracture liaison service (FLS) after 5-year implementation to close the secondary fracture care gap, ensuring that patients receive osteoporosis assessment, intervention, and treatment, therefore, reducing the fracture risk at Police General Hospital (PGH). Methods: A prospective cohort study was conducted. We studied male and female, ≥ 50 years old who presented with a fragility hip fracture and participated in PGH’s FLS from April 1, 2014–March 31, 2019 (5 years implementation). The sample size was 353 patients, with 1-year follow-up. The data were compared with a previous study, before the commencement of the FLS. Results: After 1-year follow up, the mortality rates were 5.95% and there were only 8 patients who had secondary fractures (2.93%), which showed a decrease of 30% from before FLS implementation. Post-injury bone mineral density (BMD) rates were increased from 28.33% to 85.84%, osteoporosis treatment rates were increased from 40.8% to 89.38%, and the time to surgery and hospitalization decreased from 7.9 to 5.0 days, and 23.2 to 19.6 days, respectively, all with statistical significance (P < 0.001). However, the 1-year mortality rates were not significant when compared to the previous study. Conclusions: Patients with fragility hip fractures participating in FLS after 5-year implementation at PGH had significantly higher post-injury BMD and osteoporosis treatment rates and significantly shorter in time to surgery and hospitalization. This showed that secondary fracture rates were lower than before the project at 1-year of follow up. |
| first_indexed | 2024-12-16T11:42:12Z |
| format | Article |
| id | doaj.art-7919fb8cbc2c4d3381fbc78eddb64f63 |
| institution | Directory Open Access Journal |
| issn | 2405-5255 |
| language | English |
| last_indexed | 2024-12-16T11:42:12Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoporosis and Sarcopenia |
| spelling | doaj.art-7919fb8cbc2c4d3381fbc78eddb64f632022-12-21T22:32:55ZengElsevierOsteoporosis and Sarcopenia2405-52552020-12-0164199204The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort studyTanawat Amphansap0Nitirat Stitkitti1Alisara Arirachakaran2Department of Orthopedics, Police General Hospital, Bangkok, 10330, Thailand; Corresponding author. Department of Orthopedics, Police General Hospital, Rama 1 road, Prathumwan, Bangkok, 10330.Department of Orthopedics, Police General Hospital, Bangkok, 10330, ThailandDepartment of Orthopedics, Bumrungrad International Hospital, Bangkok, 10110, ThailandObjectives: The purpose of the study is to assess the effectiveness of fracture liaison service (FLS) after 5-year implementation to close the secondary fracture care gap, ensuring that patients receive osteoporosis assessment, intervention, and treatment, therefore, reducing the fracture risk at Police General Hospital (PGH). Methods: A prospective cohort study was conducted. We studied male and female, ≥ 50 years old who presented with a fragility hip fracture and participated in PGH’s FLS from April 1, 2014–March 31, 2019 (5 years implementation). The sample size was 353 patients, with 1-year follow-up. The data were compared with a previous study, before the commencement of the FLS. Results: After 1-year follow up, the mortality rates were 5.95% and there were only 8 patients who had secondary fractures (2.93%), which showed a decrease of 30% from before FLS implementation. Post-injury bone mineral density (BMD) rates were increased from 28.33% to 85.84%, osteoporosis treatment rates were increased from 40.8% to 89.38%, and the time to surgery and hospitalization decreased from 7.9 to 5.0 days, and 23.2 to 19.6 days, respectively, all with statistical significance (P < 0.001). However, the 1-year mortality rates were not significant when compared to the previous study. Conclusions: Patients with fragility hip fractures participating in FLS after 5-year implementation at PGH had significantly higher post-injury BMD and osteoporosis treatment rates and significantly shorter in time to surgery and hospitalization. This showed that secondary fracture rates were lower than before the project at 1-year of follow up.http://www.sciencedirect.com/science/article/pii/S2405525520301047Fracture liaison serviceOsteoporosisFragility hip fractureThailand |
| spellingShingle | Tanawat Amphansap Nitirat Stitkitti Alisara Arirachakaran The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study Osteoporosis and Sarcopenia Fracture liaison service Osteoporosis Fragility hip fracture Thailand |
| title | The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study |
| title_full | The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study |
| title_fullStr | The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study |
| title_full_unstemmed | The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study |
| title_short | The effectiveness of Police General Hospital’s fracture liaison service (PGH’s FLS) implementation after 5 years: A prospective cohort study |
| title_sort | effectiveness of police general hospital s fracture liaison service pgh s fls implementation after 5 years a prospective cohort study |
| topic | Fracture liaison service Osteoporosis Fragility hip fracture Thailand |
| url | http://www.sciencedirect.com/science/article/pii/S2405525520301047 |
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