Preventing fragility hip fracture in high risk groups: an opportunity missed

Preventing cardiovascular complications of acute infection: a missed opportunity?

[Missed opportunities for prevention of hip fracture in older patients].

BACKGROUND/AIM Osteoporotic fractures are a major cause of morbidity in the population. Therefore, fracture prevention strategies should be a major concern, and one of the priorities in the primary health care system. The aim of the study was to assess fracture and fall risk factors, and fracture risk level in patients with acute hip fracture, and to evaluate if there had been adequate osteopor...

Systematic review on the inclusion of patients with cognitive impairment in hip fracture trials: a missed opportunity?

BACKGROUND More than 320 000 hip fractures occur annually in North America. An estimated 30% of this population have cognitive impairment. We sought to determine the extent to which patients with cognitive impairment or dementia have been included in randomized controlled trials (RCTs) assessing hip fracture management. METHODS We conducted a systematic search of 3 electronic journal database...

Risk assessment of fragility fracture: NICE guideline.

British Journal of General Practice, December 2012 667 INTRODUCTION Fragility fractures result from mechanical forces that would not ordinarily result in fracture. The World Health Organization (WHO) has quantified this as forces equivalent to a fall from a standing height or less. Reduced bone density is a major risk factor for fragility fractures. The prevalence of osteoporosis increases mark...

Optimal hip fracture management in high-risk frail older adults.

Management of high-risk hip fracture patients is complicated. The optimal surgical decision must be individualized and made promptly, with the assistance of all important team members, including primary care doctors, patient, family, and the orthopedic team. The risks of delaying surgery are significant and should be avoided if possible. Strategies for improving outcomes in these patients inclu...