Problem: Osteoporosis is a condition associated with significant morbidity, mortality and economic costs. It is a disease amenable to primary and secondary prevention. Our aim was to ascertain the quality of osteoporosis management by conducting an audit of patients presenting with minimal trauma hip and vertebral fractures to our facility.
Methods A retrospective audit of patients admitted with hip and vertebral fractures between January and December 2011 was conducted.
Results 143 patients were reviewed.
In 52 patients who had a prior diagnosis of osteoporosis:
In 91 patients who had no prior diagnosis of osteoporosis:
A review of 101 clinical separation summaries, the documents that enable handover of the patient’s care back to their primary care clinician, was conducted (summaries of patients who were deceased, transferred or palliated were excluded; some summaries were not available for review). Specific reference to osteoporosis was recorded in only 11 summaries.
Conclusions For the majority of patients presenting with minimal trauma fractures to our facility there was a failure of the treating teams to consider osteoporosis as the underlying cause and to then initiate the appropriate investigations, treatment and organise follow up. We plan to introduce guidelines and a ‘Bone protection pack’ to address this treatment gap.