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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.

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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, DebraORCID iD for 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
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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.