Effectiveness of a Japanese multi-professional cooperative osteoporosis liaison service at a private hospital for decreasing secondary fractures in osteoporosis patients with fragility fractures

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yasumasa Yoshino ◽  
Shinya Tanaka ◽  
Hikaru Ohama ◽  
Saori Kobayashi ◽  
Hideki Tobita ◽  
...  
Keyword(s):  
Private Hospital ◽  
Fragility Fractures ◽  
Secondary Fractures

scholarly journals Implementation of a Postfracture Care Program in a Private Hospital in Colombia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
M. A. Sánchez ◽  
J. E. Segura ◽  
G. Alajmo ◽  
J. M Nossa ◽  
A. Correa ◽  
...  
Keyword(s):  
Private Hospital ◽  
Osteoporotic Fractures ◽  
Fragility Fractures ◽  
Care Program ◽  
Osteoporosis Treatment ◽  
Adherence Rate ◽  
First Year ◽  
Full Time ◽  
Cross Sectional

Purpose. To describe the implementation of a postfracture care program in a private hospital in Colombia, the results achieved after the program’s first year, and the challenges encountered. Methods. A cross-sectional descriptive study of the first year’s outcomes. The program was implemented following best practices described in the “Capture the Fracture” framework. We assessed the management of fractures before the launch of the program. A multidisciplinary group was established to collaborate on the diagnosis and treatment of patients with osteoporotic fractures. A full-time program coordinator was appointed. We analyzed the program’s clinical outcomes and limitations. Results. One-hundred and ninety patients were included in the study, with an average age of 76.7. Hip fracture was the most frequent one (33.6%). After the first year of implementing the program, 39.4% of patients received osteoporosis treatment, with an adherence rate of 73%. The incidence of subsequent falls was 5.8% and 1% for new fractures. Conclusions. The implementation of a program for patients’ care with fragility fractures is challenging for healthcare institutions. The role of a full-time coordinator is critical for the proper operation of such programs.

scholarly journals THE RUSSIAN COUNCIL OF ExPERTS FOR IMPROVEMENT THE APPROACHES TO THE TREATMENT OF OSTEOPOROSIS

2015 ◽  
Vol 18 (1) ◽  
pp. 38-40
Author(s):  
A A Volna ◽  
O B Ershova ◽  
L Ya Farba
Keyword(s):  
Fragility Fractures ◽  
Standard Of Care ◽  
Fracture Liaison Service ◽  
Emergency Rooms ◽  
Treatment Of Osteoporosis ◽  
Orthopedic Surgeons ◽  
Develop Algorithm ◽  
Secondary Fractures ◽  
Level Of Knowledge ◽  
Interdisciplinary Interaction

The meeting of the Russian Council of Experts for improvement the approaches to the treatment of osteoporosis (OP) was held in Moscow on December 4, 2014. Leading Russian and Switzerland specialists in orthopedics, traumatology and rheumatology attended the meeting as well as members of Russian unit of clinical department AOTrauma of the international public (non-government) organization AOFoundation and members of the Russian Osteoporosis Association. The participants of the Russian Council of Experts have discussed the system of care for patients with OP in the Russian Federation. They discussed the need for the development of measures to optimize interdisciplinary interaction between orthopedic surgeons and internal medicine specialists in the treatment of patients with OP to reduce the number of postsurgical complications and prevention of further vertebral and nonvertebral fractures. Experts have noted the need to raise the level of knowledge about OP in orthopedic surgeons, clinical characteristics of fractures in patients with OP and measures to control it; to raise awareness of OP among patients by billboards in clinics and outpatient emergency rooms; to develop and implement into clinical practice of orthopedic surgeons standard of care for elderly patients with fragility fractures; to develop algorithm of secondary fractures prevention through the prescription of pathogenic OP therapy at the level of the trauma unit; to form an interdisciplinary system of the medical care for patient with fragility fractures, as well as contribute to the organization of the service Secondary Fractures Prevention (Fracture Liaison Service) in the Russian health care system.

Systematic approaches to fragility fracture prevention

2014 ◽  
Vol 23 (01) ◽  
pp. 39-44
Author(s):  
D. B. Lee ◽  
P. J. Mitchell
Keyword(s):  
Fragility Fracture ◽  
National Policy ◽  
Fragility Fractures ◽  
Fracture Prevention ◽  
The United States ◽  
Fracture Liaison Service ◽  
Reimbursement Mechanisms ◽  
Future Fracture ◽  
National Coalition ◽  
Fracture Liaison

SummaryIndividuals who have suffered fractures caused by osteoporosis – also known as fragility fractures – are the most readily identifiable group at high risk of suffering future fractures. Globally, the majority of these individuals do not receive the secondary preventive care that they need. The Fracture Liaison Service model (FLS) has been developed to ensure that fragility fracture patients are reliably identified, investigated for future fracture and falls risk, and initiated on treatment in accordance with national clinical guidelines. FLS have been successfully established in Asia, Europe, Latin America, North America and Oceania, and their widespread implementation is endorsed by leading national and international osteoporosis organisations. Multi-sector coalitions have expedited inclusion of FLS into national policy and reimbursement mechanisms. The largest national coalition, the National Bone Health Alliance (NBHA) in the United States, provides an exemplar of achieving participation and consensus across sectors. Initiatives developed by NBHA could serve to inform activities of new and emerging coalitions in other countries.

Secondary Fractures Following Internal Fixation in Two Horses

1989 ◽  
Vol 02 (03) ◽  
pp. 125-128
Author(s):  
E. M. Gaughan ◽  
N. G. Duchar
Keyword(s):  
Internal Fixation ◽  
Sagittal Plane ◽  
Proximal Phalanx ◽  
Fracture Repair ◽  
Fracture Line ◽  
Carpal Bone ◽  
Fracture Plane ◽  
The Third ◽  
Lag Screw ◽  
Secondary Fractures

SummaryImplant associated fractures have not been reported in horses. Two horses were evaluated for fractures in the fore limbs, occurring subsequent to previous fracture repair. Previously, the horses had sustained fractures of unusual configurations which were repaired using internal fixation. Following repair and healing of the fractures, secondary fractures occurred in the same bone, but in a different (more common) configuration. The first horse was evaluated ten months following lag screw fixation of a longitudinal fracture of the proximal phalanx in a frontal plane. This horse presented with a more typical comminuted fracture in the sagittal plane with the screws from the first fixation lying in the fracture line. This fracture was successfully treated with a cast. The second horse was examined eightteen months after repair of a medial sagittal slab fracture of the third carpal bone. The horse presented with a more typical dorsal slab fracture of the third carpal bone with the previously placed lag screw lying in the fracture line. The screw was removed and a lag screw was placed perpendicular to the new fracture plane through the dorsal surface of the third carpal bone to repair the fracture.

Isolation of post operative hospital acquired infections in a private hospital of Bangladesh and identification of clonal relatedness of E. coli by using Pulse filed gel electrophoresis

2012 ◽  
Vol 6 (2) ◽  
pp. 7-10
Author(s):  
Mohammad Murshed ◽  
Sabeena Shahnaz ◽  
Md. Abdul Malek
Keyword(s):  
Private Hospital ◽  
Isolation And Identification ◽  
College Hospital ◽  
Hospital Acquired Infection ◽  
E Coli ◽  
Hospital Acquired Infections ◽  
Medical College ◽  
Clonal Relatedness ◽  
Hospital Acquired ◽  
Dressing Materials

Isolation and identification of post operative hospital acquired infection was carried out from July 2008 to December 2008 in Holy Family Red Crescent Medical College Hospital (private hospital). The major pathogen of wound infection was E. coli. A total; of 120 samples were collected from the surrounding environment of post operative room like floor, bed sheets, instruments, dressing materials, catheter, nasogastric and endotracheal tube. E. coli (40%) was the predominant organism followed by S. aureus (24%). DNA fingerprinting analysis using pulsed field gel electreopheresis of XbaI restriction digested genomic DNA showed that clonal relatedness between the two clinical nd environmental isolates were 100%.DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19369 Bangladesh J Med Microbiol 2012; 06(02): 7-10

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