Type

Journal Article

Authors

I J Perry
M Reilly
F Mohamed
J Sheehan

Subjects

Medicine & Nursing

Topics
recurrence fracture fixation internal osteoporosis male ireland aged humans middle aged data collection vitamin d surgery female prevention control physician s practice patterns administration dosage drug therapy calcium compounds hormone replacement therapy questionnaires orthopedics femoral neck fractures

Secondary prevention following fractured neck of femur: a survey of orthopaedic surgeons practice. (2000)

Abstract Fractured neck of femur is one of the most common reasons for hospital admission in the elderly population. Despite this little attention is given to the area of secondary prevention. To assess the variation in clinical practice among orthopaedic surgeons with regard to the use of secondary preventive measures in relation to fractured neck of femur. A postal survey using a self-completed questionnaire among all orthopaedic surgeons throughout the Republic of Ireland. The study questionnaire addressed unit information prophylaxis for deep venous thrombosis and investigation and secondary prevention of fractured neck of femur. It gave a clinical scenario of a 72-year old female who was admitted with a fractured neck of femur after a minor fall. A reminder was sent to the non-responders. Data were analysed using chi-squared test. The number of completed questionnaires returned was 89 giving a response rate of 66%. Of these 71(82.6%) reported that they would not initiate or recommend investigation of the extent of the underlying osteoporosis in the specific case upon which the questionnaire was based. With regard to the issue of secondary prevention 16(18%) stated that they would prescribe Vitamin D and 26(29%) would prescribe calcium supplements. 15(17%) would use bisphosphonates and 15(17%) would prescribe hormone replacement therapy. Only one respondent would use an external hip protector. There is an underuse of secondary preventive measures with regard to fractured neck of femur. There needs to be clear definition of roles and perhaps the development of agreed local protocols in order that patients with hip fractures do not miss out on potentially beneficial treatment. There is an underuse of secondary preventive measures with regard to fractured neck of femur. There needs to be clear definition of roles and perhaps the development of agreed local protocols in order that patients with hip fractures do not miss out on potentially beneficial treatment.
Collections Ireland -> University College Cork -> PubMed

Full list of authors on original publication

I J Perry, M Reilly, F Mohamed, J Sheehan

Experts in our system

1
Ivan J Perry
University College Cork
Total Publications: 188
 
2
Jeremiah J. Sheehan
Teagasc
Total Publications: 32