When continuity of care breaks down: a systems failure in identification of osteoporosis risk in older patients treated for minimal trauma fractures Kelly, Anne-Maree, Clooney, Megan, Kerr, Debra and Ebeling, Peter R 2008, When continuity of care breaks down: a systems failure in identification of osteoporosis risk in older patients treated for minimal trauma fractures, Medical journal of Australia, vol. 188, no. 7, pp. 389-391. Attached Files Name Description MIMEType Size Downloads kerr-whencontinuity-2008.pdf Published version application/pdf 475.82KB 8 Title When continuity of care breaks down: a systems failure in identification of osteoporosis risk in older patients treated for minimal trauma fractures Author(s) Kelly, Anne-Maree Clooney, Megan Kerr, Debra orcid.org/0000-0002-2956-2432 Ebeling, Peter R Journal name Medical journal of Australia Volume number 188 Issue number 7 Start page 389 End page 391 Total pages 4 Publisher Australasian Medical Publishing Company Place of publication Newton, N.S.W. Publication date 2008 ISSN 0025-729X 1326-5377 Summary OBJECTIVE: Minimal trauma fractures may be the first indication of osteoporosis. Our aim was to determine the proportion of patients who underwent bone density testing for osteoporosis of those with a minimal trauma wrist fracture treated in the emergency department (ED). DESIGN: This observational retrospective cohort study used explicit medical record review and scripted telephone interviews. SETTING: EDs of three metropolitan hospitals in Melbourne in 2006. PARTICIPANTS: Patients aged 50 years and over who were treated for wrist fracture due to minimal trauma. Data collected included demographic details, fracture details, causes of injury, any bone density testing and any osteoporosis-related medication change. MAIN OUTCOME MEASURE: The proportion of patients who underwent bone density testing in the follow-up period. RESULTS: 131 patients were studied; 83% were female, and the median age was 71 years. No patient was referred by an ED or fracture clinic for bone density testing (95% CI, 0-3.5%). Telephone follow-up data were obtained from 91 patients. Of these, 28 reported having bone density testing after their fracture, of whom 14 (50%; 95% CI, 32%-67%) were found to have osteoporosis. Seven were treated with a bisphosphonate and one with a selective oestrogen-receptor modulator. CONCLUSION: Follow-up of patients suffering minimal trauma wrist fractures treated in the ED is poor. Systems to improve the identification and treatment of osteoporosis in this group are needed if future osteoporotic fractures and their consequences are to be avoided. Language eng Field of Research 111799 Public Health and Health Services not elsewhere classified 1117 Public Health And Health Services 1103 Clinical Sciences Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2008, Medical Journal of Australia Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30089882 Document type: Journal Article Collections: School of Nursing and Midwifery Centre for Quality and Patient Safety Research Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Thu, 01 Dec 2016, 12:06:02 EST Fri, 02 Dec 2016, 04:01:23 EST Tue, 17 Jan 2017, 05:05:08 EST Tue, 17 Jan 2017, 14:10:13 EST Tue, 17 Jan 2017, 14:12:49 EST Wed, 14 Jun 2017, 11:38:53 EST Filtered Full Citation counts:   Cited 8 times in TR Web of Science Cited 9 times in Scopus Search Google Scholar Access Statistics: 98 Abstract Views, 9 File Downloads  -  Detailed Statistics Created: Thu, 01 Dec 2016, 12:06:02 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.