Screening fo osteoporosis in elderly patients admitted to post-acute rehabilitation.
Details
Serval ID
serval:BIB_F696A86436D6
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Screening fo osteoporosis in elderly patients admitted to post-acute rehabilitation.
Title of the conference
AGS 2012, Annual Scientific Meeting of the American Geriatrics Society
Address
Seattle, Washington, United-States, May 3-5, 2012
ISSN-L
0002-8614
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
60
Series
Journal of the American Geriatrics Society
Pages
S102
Language
english
Abstract
Background: Screening for osteoporosis is important in older
patients admitted to post-acute rehabilitation. However, DXA measurement
is sometimes difficult to perform because of difficulties in
positioning the patient and artefacts (osteoarthritis, prosthesis). The
objectives were to determine the prevalence of unknown clinical osteoporosis
in rehab patients and to determine new strategies for identifying
clinical osteoporosis in this population.
Method: Over a 9-months period, patients consecutively admitted
to post-acute rehabilitation were included in th stdy. Patients with
osteoporosis diagnosis, and those with terminal illness or severe physical
limitations were excluded. Patients underwent Bone Mineral
Density (BMD) by DXA and Vertebral Fracture Assessment (VFA).
Clinical osteoporosis was defined as BMD ≤-2.5 SD at any site (lumbar
spine, femoral neck, total hip or distal radius), ≥1 vertebral fracture,
≥1 hip fracture, or another fragility fracture and BMD ≤-2 SD.
Results: Overall, 102 (17.0%) of the 600 patients admitted to
rehab refused to participate in the study or were unable to consent.
Among the 498 remaining patients, 99 (19.9%) were excluded because
of already known diagnosis of osteoporosis, 101 (20.3%) were
excluded because of terminal illness, severe physical limitations, and
45 (9.0%) because of inability to perform DXA during the stay
(death, hospital transfer). Overall, 253 patients were assessed with
DXA and VFA (166 women, mean age 83±7 years, mean BMI 27±6
kg/m2, and 87 men, mean age 82±6 yrs, mean BMI 27±5 kg/m2). Of
these, 70% had history of fall during the last 6 months and 9.1% had
hip fracture history. Prevalence of osteoporotic vertebral fracture was
36% in women and 32% in men. Overall, 152 (60.1%) patients had
clinical osteoporosis (women: 67%; men: 46%) according to above
criteria. Hip fracture history and vertebral fracture assessment identified
correctly 105 (69.1%) of these 152 patients.
Conclusion: A high prevalence of osteoporosis was observed in
this population of rehab patients. Osteoporosis status should be systematically
assessed in these patients at high fall risk, at least with
careful history of hip fracture and an assessment for vertebral fractures
with spine X-ray.
patients admitted to post-acute rehabilitation. However, DXA measurement
is sometimes difficult to perform because of difficulties in
positioning the patient and artefacts (osteoarthritis, prosthesis). The
objectives were to determine the prevalence of unknown clinical osteoporosis
in rehab patients and to determine new strategies for identifying
clinical osteoporosis in this population.
Method: Over a 9-months period, patients consecutively admitted
to post-acute rehabilitation were included in th stdy. Patients with
osteoporosis diagnosis, and those with terminal illness or severe physical
limitations were excluded. Patients underwent Bone Mineral
Density (BMD) by DXA and Vertebral Fracture Assessment (VFA).
Clinical osteoporosis was defined as BMD ≤-2.5 SD at any site (lumbar
spine, femoral neck, total hip or distal radius), ≥1 vertebral fracture,
≥1 hip fracture, or another fragility fracture and BMD ≤-2 SD.
Results: Overall, 102 (17.0%) of the 600 patients admitted to
rehab refused to participate in the study or were unable to consent.
Among the 498 remaining patients, 99 (19.9%) were excluded because
of already known diagnosis of osteoporosis, 101 (20.3%) were
excluded because of terminal illness, severe physical limitations, and
45 (9.0%) because of inability to perform DXA during the stay
(death, hospital transfer). Overall, 253 patients were assessed with
DXA and VFA (166 women, mean age 83±7 years, mean BMI 27±6
kg/m2, and 87 men, mean age 82±6 yrs, mean BMI 27±5 kg/m2). Of
these, 70% had history of fall during the last 6 months and 9.1% had
hip fracture history. Prevalence of osteoporotic vertebral fracture was
36% in women and 32% in men. Overall, 152 (60.1%) patients had
clinical osteoporosis (women: 67%; men: 46%) according to above
criteria. Hip fracture history and vertebral fracture assessment identified
correctly 105 (69.1%) of these 152 patients.
Conclusion: A high prevalence of osteoporosis was observed in
this population of rehab patients. Osteoporosis status should be systematically
assessed in these patients at high fall risk, at least with
careful history of hip fracture and an assessment for vertebral fractures
with spine X-ray.
Create date
24/01/2013 11:23
Last modification date
08/08/2024 6:26
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