[Secondary screening for osteoporosis in patients admitted for hip fracture to a rehabilitation center. Results of a survey].
OBJECTIVE
To determine prevalence, risk factors and treatment of osteoporosis in patients with hip fracture observed in a rehabilitation ward.


BACKGROUND
Hip fractures are associated with up to 20% excess mortality in the first year after fracture and cause functional disability in most survivors. Despite available risk indices and physician information, osteoporosis is still underdiagnosed and undertreated.


METHODS
We obtained history, clinical and biological data, and bone density (BD) data in 41 patients admitted with hip fracture to a rehabilitation care centre.


RESULTS
Only 3 patients had known osteoporosis. Although 50% had at least 1 clinical risk factor, all patients showed osteopenic BD scores and 68% had osteoporotic scores; only one was correctly treated.


CONCLUSIONS
As with international studies, our study shows that osteoporosis is underdiagnosed. Risk assessment tools allow for routine screening and preventive measures incorporated into standard care practice. The prevention of osteoporotic fracture can be promoted in rehabilitation centres.
Dupeyron
A
A
Département de médecine physique et réadaptation, CHU Carémeau, place du Professeur-Robert-Debré, 30029 Nîmes cedex 09, France. arnaud.dupeyron@chu-nimes.fr
Javier
R-M
RM
Froehlig
P
P
Lecocq
J
J
Isner-Horobeti
M-E
ME
Vautravers
P
P
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000175:diagnosis; D003720:Densitometry; D005260:Female; D006306:Health Surveys; D006620:Hip Fractures / Q000453:epidemiology* / Q000517:prevention & control / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D015995:Prevalence; D012047:Rehabilitation Centers; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors