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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2022, Number 1

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Ortho-tips 2022; 18 (1)

Subsequent fracture and hospital re-entry related to fragility fractures in Orthogeriatrics unit of Fracture Liaison Services

Reyes-Guerrero WA, Guillermo-Nuncio EA, Ramírez-Salas KC, Aguilera-De AKS, Zapata-Reyes PD, Baldenebro-Lugo SL, Nieto-Sandoval HR, Viveros-García JC

Language: Spanish
References: 15
Page: 29-32
PDF size: 132.97 Kb.


ABSTRACT

Introduction: Fragility fractures have a high rate of complications, costs and are dependency generators. Secondary fracture prevention models have been shown to decrease the refracture rate and to be cost effective. Objective: To know the rate of refracture and hospital readmission after a fragility fracture as the first phase of the FLS project or Fracture Coordination Unit. Material and methods: Retrospective, cross-sectional, descriptive study. Fragility fractures admitted from January 1, 2017 to December 31, 2019 at Hospital Regional ISSSTE León, Mexico were included. Results: In the period described, a total of 343 fragility fractures, with a mean age of 69 years, 79% of patients were female. The most frequent fracture was the hip fracture (33.8%) followed by the distal radius (25.1%). Only in 8.5% of patients is the diagnosis of osteoporosis mentioned. Most of the patients received surgical treatment (86.6%). 40.5% of the patients were readmitted in the following 12 months at least once. 17 patients had a new fragility fracture (12%). Discussion: The rate of refracture or subsequent fracture in our hospital in the first year after a fracture is high compared to other centers. Conclusions: It is shown that the rate of refractures and readmissions in our hospital is above the rate expected in hospitals with an FLS. The creation of this model is a priority since there is evidence that its implementation improves the quality of care.


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