Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.

BACKGROUND: Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to an increased risk of fracture. Hip fracture is the common and serious consequence of osteoporosis. To improve bone quality and prevent new fracture, osteoporosis should be t...

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Main Authors: Rojanasthien S., Chiewchantanakit S., Vaseenon T.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-33748461065&partnerID=40&md5=c663a67a46e161a9c21f36ad84d20ae8
http://cmuir.cmu.ac.th/handle/6653943832/1830
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-18302014-08-30T02:00:09Z Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital. Rojanasthien S. Chiewchantanakit S. Vaseenon T. BACKGROUND: Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to an increased risk of fracture. Hip fracture is the common and serious consequence of osteoporosis. To improve bone quality and prevent new fracture, osteoporosis should be treated while the patient was admitted with hip fracture problem. Several medications have been proven to be effective. Objectives of the present study were to determine the adequacy of diagnosis and treatment of osteoporosis in hip fracture patients. MATERIAL AND METHOD: A retrospective study of all low energy trauma hip fracture patients, between 1998 and 2003 at the age of 50 years old or more. The National Osteoporosis Foundation guideline was used to identify adequacy of diagnosis and treatment of osteoporosis in this group of patients. Age, sex, admitted diagnosis, mechanism of injury, admission medication, treatment procedures, discharge medication, BMD investigation were analysed. RESULTS: The percentage of calcium supplementation for the discharged patients in 1998 to 2003 was 0%, 10.5%, 33.3%, 32.7%, 39.3% and 43.0% respectively. The percentage of combination of calcium and vitamin D supplementation for the discharged patients was 0%, 8.8%, 21.1%, 12.7%, 24.6% and 37.5% respectively. Bisphosphonate was ordered in 9 and calcitonin in 20 patients. 7% of patients were diagnosied as osteoporosis. The quantity of osteoporosis was confirmed by DXA measurement in only one patient. CONCLUSIONS: In the past 6 years, most of the hip fracture patients were underdiagnosed and undertreated for osteoporosis. There was also a good trend for better treatment. 2014-08-30T02:00:09Z 2014-08-30T02:00:09Z 2005 Article 01252208 16871658 http://www.scopus.com/inward/record.url?eid=2-s2.0-33748461065&partnerID=40&md5=c663a67a46e161a9c21f36ad84d20ae8 http://cmuir.cmu.ac.th/handle/6653943832/1830 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description BACKGROUND: Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing a person to an increased risk of fracture. Hip fracture is the common and serious consequence of osteoporosis. To improve bone quality and prevent new fracture, osteoporosis should be treated while the patient was admitted with hip fracture problem. Several medications have been proven to be effective. Objectives of the present study were to determine the adequacy of diagnosis and treatment of osteoporosis in hip fracture patients. MATERIAL AND METHOD: A retrospective study of all low energy trauma hip fracture patients, between 1998 and 2003 at the age of 50 years old or more. The National Osteoporosis Foundation guideline was used to identify adequacy of diagnosis and treatment of osteoporosis in this group of patients. Age, sex, admitted diagnosis, mechanism of injury, admission medication, treatment procedures, discharge medication, BMD investigation were analysed. RESULTS: The percentage of calcium supplementation for the discharged patients in 1998 to 2003 was 0%, 10.5%, 33.3%, 32.7%, 39.3% and 43.0% respectively. The percentage of combination of calcium and vitamin D supplementation for the discharged patients was 0%, 8.8%, 21.1%, 12.7%, 24.6% and 37.5% respectively. Bisphosphonate was ordered in 9 and calcitonin in 20 patients. 7% of patients were diagnosied as osteoporosis. The quantity of osteoporosis was confirmed by DXA measurement in only one patient. CONCLUSIONS: In the past 6 years, most of the hip fracture patients were underdiagnosed and undertreated for osteoporosis. There was also a good trend for better treatment.
format Article
author Rojanasthien S.
Chiewchantanakit S.
Vaseenon T.
spellingShingle Rojanasthien S.
Chiewchantanakit S.
Vaseenon T.
Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
author_facet Rojanasthien S.
Chiewchantanakit S.
Vaseenon T.
author_sort Rojanasthien S.
title Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
title_short Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
title_full Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
title_fullStr Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
title_full_unstemmed Diagnosis and treatment of osteoporosis following hip fracture in Chiang Mai University Hospital.
title_sort diagnosis and treatment of osteoporosis following hip fracture in chiang mai university hospital.
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-33748461065&partnerID=40&md5=c663a67a46e161a9c21f36ad84d20ae8
http://cmuir.cmu.ac.th/handle/6653943832/1830
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