Document Detail

[Secondary prevention in osteoporotic fractures. The GIOS project].
MedLine Citation:
PMID:  20880558     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND AND OBJECTIVE: The aim of this report is to describe and evaluate the results of a secondary prevention program in osteoporotic fractures in 70 Spanish hospitals. This project was started to improve the treatment of these fractures, with the inhospital implementation of software collecting epidemiological data on patients with osteoporotic fractures.
PATIENTS AND METHODS: A prospective case study was conducted between March 2003 and March 2006 involving a consecutive sample of 24,534 patients with established fragility fracture seen in 70 hospitals. The study exclusion criterion was secondary osteoporotic fracture. The project consists of implementing software in hospitals, designed to collect such epidemiological data among these patients. Based on this information and on the published scientific evidence, the software automatically generates drug therapy recommendations and non pharmacologic measures of prevention to be included in the discharge report.
RESULTS: The number of patients with osteoporotic fractures included in the program totalled 24,534 subjects. Of these patients, only 22.7% were receiving treatment for osteoporosis. Implementation of the program made it possible to discharge 19,033 patients (77.6%) with prescribed treatment, but in only 15,153 patients (61.8%) the treatment was correct.
CONCLUSIONS: The GIOS project has proved effective in increasing the identification of fragility fractures and improve the percentage of secondary prevention measures, both pharmacological and non pharmacological, for patients with these fractures.
Antonio Herrera; Pedro Carpintero; Cristina Fernández-Pérez; Daniel Hernández-Vaquero; Angel A Martínez; Santiago Suso
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2010-09-29
Journal Detail:
Title:  Medicina clínica     Volume:  136     ISSN:  0025-7753     ISO Abbreviation:  Med Clin (Barc)     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376377     Medline TA:  Med Clin (Barc)     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  50-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier España, S.L. All rights reserved.
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Zaragoza, España. herrera@salud
Vernacular Title:
Prevención secundaria en fracturas osteoporóticas. Resultados del proyecto GIOS.
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