Screening of Fracture Risk and Osteoporosis Among Older Long-term Care Residents: A Prospective Study

被引：0
作者：
S.-H. Fu
C.-Y. Lai
C.-Y. Wang
C.-C. Hung
J.-D. Ye
H.-K. Yen
C.-H. Wu
L.-J. E. Ku
T. Yu
R.-S. Yang
F.-Y. Hsiao
Chung-Yi Li
机构：
[1] National Taiwan University Hospital Yunlin Branch,Department of Orthopedics
[2] National Cheng Kung University,Department of Public Health, College of Medicine
[3] Tainan,Department of Orthopedics
[4] National Taiwan University Hospital,Department of Orthopedics
[5] National Taiwan University Hospital Hsinchu Branch,School of Pharmacy, College of Medicine
[6] National Taiwan University,Graduate Institute of Clinical Pharmacy, College of Medicine
[7] National Taiwan University,Department of Pharmacy
[8] National Taiwan University Hospital Yun-Lin Branch,Department of Medical Imaging
[9] National Taiwan University Hospital Yunlin Branch,Institute of Gerontology, College of Medicine
[10] National Cheng Kung University,Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine
[11] National Cheng Kung University,Department of Family Medicine, College of Medicine
[12] National Cheng Kung University,Department of Pharmacy
[13] National Taiwan University Hospital,Department of Public Health, College of Public Health
[14] China Medical University,Department of Healthcare Administration, College of Medical and Health Science
[15] Asia University,National Center for Geriatrics and Welfare Research
[16] National Health Research Institutes,undefined
来源：
The journal of nutrition, health & aging | 2023年 / 27卷
关键词：
Fracture risk; long-term care resident; long-term care institution; osteoporosis; bone mineral density;
D O I：
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中图分类号：
学科分类号：
摘要：
This prospective study assessed the effectiveness of screening older long-term care residents (LTCRs) for fracture risk and osteoporosis in Taiwan. Fracture risk screening was done using the Fracture Risk Assessment Tool (FRAX), and those with high or moderate risk were offered osteoporosis workup and treatment at the hospital. Among 785 LTCRs screened, 338 men (mean age 75.6) and 447 women (mean age 81.2) were included. Only 5.2% of women and no men were using anti-osteoporosis medication. Based on the Bone Health and Osteoporosis Foundation (BHOF) recommendations, 69.2% of men and 92.6% of women were classified as high fracture risk. In 110 participants willing to receive bone mineral density examination, osteoporosis was diagnosed in 86.2% of women and half of men. FRAX could effectively differentiate fracture risk in 648 LTCRs who completed 2-year follow-ups; no fracture occurred in the low-risk group. The study emphasizes the importance of fracture risk screening to enhance osteoporosis diagnosis and treatment among LTCRs.
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页码：1255 / 1261
页数：6
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