西班牙初级保健中的二次骨折预防:PREFRAOS研究的结果
Daniel Martínez-Laguna1,2, Cristina Carbonell Abella3,4, José-Carlos Bastida5
1Health Center Sant Martí de Provençals, C/ Fluvià 211, Barcelona, Spain. 34859dml@comb.cat.
Archives of osteoporosis
|May 9, 2024
概括
在西班牙初级保健中,患有脆弱性骨折的老年患者在骨质疏松症治疗和随访方面面临着重大差距. 改善二次骨折预防对于解决这些护理缺陷至关重要.
科学领域:
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
- 骨质疏松症研究 骨质疏松症研究
背景情况:
- 老年人的脆弱性骨折是一个重大的公共卫生问题.
- 骨质疏松症的管理对于预防二次骨折至关重要.
- 初级保健在治疗骨折的老年患者中起着至关重要的作用.
研究的目的:
- 在西班牙初级保健系统中调查骨质疏松症治疗模式和对患有脆弱性骨折的老年人的随访护理.
- 为了确定骨质疏松症骨折后护理连续性的差距.
主要方法:
- 对70岁及以上至少有一次脆弱性骨折的患者进行了观察性回顾性图表审查.
- 数据从2018年11月到2020年3月收集,重点关注骨质疏松症治疗和骨折后的随访.
- 排除标准包括先前参与其他研究.
主要成果:
- 观察到大量的治疗差距,在665名老年人中,只有61%接受过先前的骨质疏松症治疗.
- 在接受治疗的患者中,阿伦德罗纳酸是一种常见的第一线治疗方法,但显示出更高的断药率.
- 超过四分之一 (26%) 的受试者缺乏骨折后的随访,这一差距在女性中更为明显.
结论:
- 在西班牙初级保健中,在开始和持续治疗骨质疏松症以及对老年骨折患者的随访方面存在重大缺陷.
- 迫切需要在初级保健机构内加强二次骨折预防策略.
- 改善骨折后的患者管理对于减少后续骨折的负担至关重要.
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