Screening fo osteoporosis in elderly patients admitted to post-acute rehabilitation.
Détails
ID Serval
serval:BIB_F696A86436D6
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Institution
Titre
Screening fo osteoporosis in elderly patients admitted to post-acute rehabilitation.
Titre de la conférence
AGS 2012, Annual Scientific Meeting of the American Geriatrics Society
Adresse
Seattle, Washington, United-States, May 3-5, 2012
ISBN
1532-5415
ISSN-L
0002-8614
Statut éditorial
Publié
Date de publication
2012
Volume
60
Série
Journal of the American Geriatrics Society
Pages
S102
Langue
anglais
Résumé
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.
Création de la notice
24/01/2013 12:23
Dernière modification de la notice
20/08/2019 17:23
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