Abstract
ObjectiveTo assess secondary preventative therapy among postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur using two service delivery models.DesignPractice in two fracture units was audited and compared using the NICE guidelines (TA 87) as an audit standard.SettingTwo fracture units: one with a fracture liaison service and one without.ParticipantsPostmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur.Main outcome measuresRate of anti-resorptive treatment and rate of enquiry into risk factors.ResultsThere was a significantly higher rate of anti-resorptive treatment (90.5% compared to 60.9% with a difference of 29.6%, p < 0.001) and enquiry into risk factors (83% compared to 7%) in the unit with a fracture liaison service.ConclusionsWe propose that a hospital-based enhanced fracture liaison service may result in higher osteoporosis treatment rates among postmenopausal hospitalized hip fracture patients aged 75 years and over.
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