![]() The early identification and initiating of treatment might result in a lower rate of secondary and potentially more severe osteoporotic fractures.Ĭolles fracture Distal forearm fractures Osteoporosis Referral.Ĭopyright © 2015 Elsevier Ltd. It also shows that involvement of the ED in the screening for osteoporosis can be an effective way of increasing referral rates leading to higher rates of diagnosed osteoporosis. The results show that this type of automatic referral system can be an effective way of increasing the number of patients diagnosed with and treated for osteoporosis. Anti-osteoporotic treatment was initiated in all but 4.88% of the patients. After introduction of the system 100% were referred, 73.26% were examined and 65.08% of these were found to have osteoporosis. For comparison data was collected on the same patient group for the 3 years preceding the system.īefore the automatic system none were referred for evaluation of osteoporosis and thus none were diagnosed. The system was evaluated for the period October 2013-September 2014. With the new system, patients were referred directly from the ED for evaluation of osteoporosis at the osteoporosis out-patient department at the hospital. The automatic referral system for evaluation of osteoporosis in patients 65 years and above without known osteoporosis, living in the catchment area and sustaining a low energy distal forearm fracture was established in October 2013. Distal radius fracture can also indicate that you are prone to Colles. When you have tender bones or the density of bones decrease, it is important to consult your healthcare provider. The early signs and symptoms of osteoporosis may be the breakage of small bones. We conclude that osteoporosis is common in patients with Colles fracture however, in older patients BMD is not lower than would be expected in the normal. Postmenopausal women and older adults are often affected, as an abrupt decrease in estrogen and age-related processes play a key role in the development of osteoporosis. The purpose of this study was to assess how effective this new referral system was at improving referral rates for assessment of osteoporosis and to evaluate how many more cases of osteoporosis that was identified with this practice during the period October 2013-September 2014. Colles fracture can occur when there is decreased bone density. Osteoporosis is a skeletal condition in which the loss of bone mineral density leads to decreased bone strength and increased susceptibility to fractures. With this system, patients are referred directly from the Emergency Department (ED). This type of fracture occurs more often in women than in men and has the same age. also known as Colles fracture, is a common fracture in adults older than age 50. Due to this, an automatic out-patient referral system for assessment of underlying osteoporosis was established. Patients with a Colles’ fracture should be assessed for osteoporosis so that an appropriate treatment plan can be provided. An assessment of referral rates at our hospital during the period October 2010-September 2013 showed that none were referred. In Denmark, guidelines from the Danish Orthopedic Society recommend that patients older than 65 years who sustain a Colles' fracture should be referred to assessment of underlying osteoporosis.
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