Background Hip fractures are a significant cause of morbidity and mortality in older adults. Bone health assessment is key in the reduction of future fracture risk. The aim of our study was to examine the adherence to the fifth Irish Hip Fracture Standard in patients >=70 years presenting to Letterkenny University Hospital (LUH) with a hip fracture and to examine the number of patients who were commenced on bone protection. Methods We included patients >=70 years who were admitted under the Orthopaedic service following a hip fracture between January and June 2023 in LUH and were identified the database maintained by the using Fracture Liaison Nurse. Data collected included age, month in which hip fracture occurred, patient resident in Ireland, patient alive/deceased, patient on bone protection prior to fracture, patient commenced on bone protection or patient declined treatment. Data was recorded in a Microsoft excel spreadsheet and was analysed by the clinical audit facilitator. We measured our data against the British Geriatric Society guideline on the use of IV zoledronate following hip fracture. Results 76 patients were admitted to LUH with a hip fracture >=70 years between January and June 2023. 100% of patients were reviewed by the fracture liaison service and following this it was recommended that 46 patients (60%) be commenced on bone protection. A letter was sent to each patient’s General Practitioner outlining the recommendation for bone protection. On follow up only 7/46 (15.2%) had been started on treatment. Conclusion The fracture liaison service is appropriately identifying patients who require treatment, despite this, patients are not starting the necessary bone protection in the community. This has prompted our service to establish an IV zoledronate clinic for patients following hip fracture and to generate a plan for ongoing treatment of this patient cohort.

中文翻译：

---

对髋部骨折后 >=70 年患者的第五爱尔兰髋部骨折标准进行审核


背景 髋部骨折是老年人发病和死亡的一个重要原因。骨骼健康评估是降低未来骨折风险的关键。我们研究的目的是检查在莱特肯尼大学医院 (LUH) 就诊的髋部骨折患者 >=70 岁患者对第五爱尔兰髋部骨折标准的遵守情况，并检查开始接受骨保护的患者数量。方法 我们纳入了 >=70 岁的患者，这些患者于 2023 年 1 月至 6 月期间因髋部骨折入住 LUH，并接受骨科服务，并通过骨折联络护士维护的数据库进行了识别。收集的数据包括年龄、髋部骨折发生的月份、患者居住在爱尔兰、患者活着/死亡、患者骨折前接受骨保护、患者开始接受骨保护或患者拒绝治疗。数据记录在 Microsoft Excel 电子表格中，并由临床审核协调员进行分析。我们根据英国老年医学会关于髋部骨折后静脉注射唑来膦酸的指南测量了我们的数据。结果 2023 年 1 月至 6 月期间，有 76 名患者因髋部骨折 >=70 年入住 LUH。骨折联络服务机构对 100% 的患者进行了审查，随后建议 46 名患者 (60%) 开始接受骨治疗保护。我们向每位患者的全科医生发送了一封信，概述了骨骼保护的建议。在随访中，只有 7/46 (15.2%) 开始接受治疗。结论 骨折联络服务正在适当地识别需要治疗的患者，尽管如此，患者并没有在社区中开始必要的骨骼保护。 这促使我们为髋部骨折后的患者建立静脉注射唑来膦酸诊所，并制定对该患者群体的持续治疗计划。