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Fracture risk is under-recognised and under-treated in memory clinic attendees
Z Lampshire1, D Tingley2, A Jarvis2
1Research Institute for the Care of Older People, Bath, United Kingdom; Cardiff University Brain Research Imaging Centre, School of Psychology, Cardiff University, Cardiff, United Kingdom.
Maturitas
|April 28, 2019
Summary
Older adults with cognitive impairment face higher fracture risks. Current management often falls short, with low rates of recommended treatments and bone density scans, indicating a critical gap in care for fall prevention.
Area of Science:
- Gerontology
- Bone Health
- Cognitive Impairment
Background:
- UK guidelines emphasize fracture risk assessment for at-risk older adults.
- Cognitive impairment increases fracture risk compared to cognitively intact individuals.
Purpose of the Study:
- To assess fracture risk in memory clinic attendees.
- To compare current management of fracture risk with national guidelines.
Main Methods:
- Fracture risk assessment was performed on 79 memory clinic attendees.
- Management practices were compared against UK national guidelines.
Main Results:
- Despite 57 reported falls in the past year, only 36% of eligible patients received antiresorptive treatment.
- Dual-energy X-ray absorptiometry (DEXA) scans were performed in only 13% of cases where recommended.
Conclusions:
- Significant deficits exist in the fracture risk assessment and management of older adults with cognitive impairment.
- Interventions are needed to improve adherence to guidelines and reduce fracture incidence in this vulnerable population.
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