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Implementation of a Postfracture Care Program in a Private Hospital in Colombia
M A Sánchez1, J E Segura1, G Alajmo1
1Clinica del Country, Bogota, Colombia.
Journal of Osteoporosis
|October 5, 2020
Summary
Implementing a postfracture care program improved osteoporosis treatment rates and reduced subsequent fractures. A dedicated coordinator proved crucial for program success in a Colombian hospital.
Area of Science:
- Geriatric Medicine
- Orthopedics
- Public Health
Background:
- Fragility fractures represent a significant burden on healthcare systems.
- Effective postfracture care programs are essential to prevent subsequent events.
Purpose of the Study:
- To detail the implementation of a postfracture care program in a Colombian private hospital.
- To evaluate the program's outcomes and challenges during its first year.
- To assess the impact on osteoporosis management and fracture prevention.
Main Methods:
- A cross-sectional descriptive study analyzing the first year of program outcomes.
- Implementation followed the 'Capture the Fracture' framework.
- Established a multidisciplinary team and appointed a full-time program coordinator.
Main Results:
- 190 patients (average age 76.7) with fragility fractures were included.
- Hip fractures were most common (33.6%).
- Post-program, 39.4% received osteoporosis treatment with 73% adherence; subsequent falls were 5.8%, new fractures 1%.
Conclusions:
- Implementing fragility fracture care programs presents challenges for healthcare institutions.
- A dedicated, full-time program coordinator is vital for operational success.
- The program demonstrated positive initial results in patient management and secondary fracture prevention.
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