AB0626 THE CHARACTERISTICS AND TREATMENT OF PATIENTS ADMITTED WITH FRAGILITY FRACTURE OF THE HIP

Background: Hip fractures are associated with significant morbidity, mortality, loss of independence and financial burden. 1 There is a positive influence calcium vitamin D supplementation on the fracture-healing outcome. 2 Recent evidence supports starting bisphosphonate in acute post-fracture period. 3 Objectives: To investigate characteristics treatment patients admitted fragility fracture hip. Methods: This retrospective study all hip throughout 2018, included hospital registry. Data collected patients’ characteristics, place falls, types fracture, in-patient surgical medical prescribed up until one year follow-up. Outcome hospitalisation were reported as alive, death at-own-risk discharge. Continuous categorical data described using mean (±SD) no (%). Comparison continuous was performed student t-test. Results: One-hundred sixty-seven 44 (26.3%) male 123 (73.7%) female patients, age 77.1(±9.8) years. Male significantly younger compared to [73.1(±10.5) years vs 78.5(±9.1) years, p=0.002]. Eighty-six (51.5%) Chinese, followed 57 (34.1%) Malay 24 (14.4%) Indian patients. Chinese older than [80.4(±8.2) 74.6(±9.8) p<0.001] 71.0(±10.5), p<0.001]. Most 96 (57.5%) fell within vicinity their homes while other 26 (12.7%) outside home. The fall not documented for 45 (26.9%) neck femur 70 (41.9%), inter-trochanteric 93 (55.7%) subtrochanteric 4 (2.4%) Of 167 100 (59.9%) underwent 67 (40.1%) treated conservatively. prescription higher (Table 1). 148 (88.6%) discharged home, 12 (7.2%) died during admission 7 (4.2%) opted Table 1. Treatment Male, (%) Female, p-value Surgery Yes (n=100) 30 (30) (70) 0.209 No (n=67) 14 (20.1) 53 (79.1) Calcium (n=91) 18 (19.8) 73 (80.2) 0.035 (n=76) (34.2) 50 (65.8) Vitamin (n=88) 16 (18.2) 72 (81.8) 0.011 (n=79) 28 (35.4) 51 (64.6) Bisphosphonate (n=13) 0 13 (100) NA (n=154) (28.6) 110 (71.4) Conclusion: high proportion Majority who We found low osteoporosis medications following care can be improved through multidisciplinary approach. References: [1]Schnell S, et al. 1-Year Mortality Patients Treated Frature Program Elders. Geriatr Orthop Surg Rehabil, 2010; 1: 6-14. [2]Fischer V, Bone Fracture Healing Post Traumatic Turnover. European Cells Materails, 2018; 35: 365-385. [3]Barton DW, Timing Initiation After Fracture: What Does Really Say? 2020; 11; 1-5. Disclosure Interests: None declared.