To study the effect of bone mineral density measurement on the diagnosis and treatment of osteoporosis in patients with fragility hip fracture

Abstract

Objectives To study the effect of bone mineral density measurement on the diagnosis and treatment of osteoporosis in patients with fragility hip fracture. Methods A retrospective analysis was conducted on 560 cases of elderly patients with fragility hip fracture in our hospital from January 2010 to December 2012.They were divided into two groups with and without the bone mineral density measurement, and compared to study the bone turnover markers detection and osteoporosis treatment. Results Among the 80 cases with the DXA bone mineral density detection, 36 cases received the bone turnover markers detection(45.0%), and the rate of osteoporosis treatment in hospital was 70.0%, while the rate of osteoporosis treatment after discharge was 57.5%.Among the 480 cases without DXA bone mineral density detection, none received bone turnover markers detection, and the rate of osteoporosis treatment in hospital was 42.1%, while the rate of osteoporosis treatment after discharge was 36.7%. Conclusions The detection rate of bone mineral density and the diagnosis and treatment rate of osteoporosis are low in patients with fragility hip fracture.DXA bone mineral density measurement is helpful to improve the detection rate of bone turnover markers and the treatment rate of osteoporosis. Key words: Hip fracture; Osteoporosis; Bone mineral density