861 Bone Protection in Neck of Femur Patients in A DGH Without A Fracture Liaison Service

Abstract Introduction In England and Wales, there are approximately 75,000 proximal femoral fractures per year. Bone protection is vital in these patients a key recommendation of NICE guidelines (CG124) for multidisciplinary approach hip fracture management. Method Data were collected retrospectively using clinical portal, admission records medication charts. The data inputted into the FRAX calculator to calculate patient’s risk developing an osteoporotic fracture; depending on their they would be appropriate bone or require DEXA scan further assessment. As certain criteria not available calculation, calculation was underscored i.e., if parental status known. Results A total 59 audited between July October 2019. Of those patients, 25 calculated as high risk, however, only 6 had adequate protection. 19 deemed intermediate benefit from 8 requested 2 who intermediate/high risk. year following, 4 have another fracture, with 3 any calculation. Conclusions Following local meeting; proforma has been piloted identify at requiring With help dedicated orthopaedic pharmacist nurse practitioners, continuity care can achieved aid long-term wellbeing.