Australasian journal on ageing · 2016
Suboptimal bone protection in geriatric inpatients and effect of a simple educational and mnemonic strategy.
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Scott Taylor Arndt, Beveridge Alexander, Ní Chrónín Danielle
Аннотация
AIM: Osteoporosis is underdiagnosed and undertreated in Australia, especially in hospitalised patients. We aimed to improve bone health management in geriatric inpatients by introducing a mnemonic into discharge summaries.
METHODS: A retrospective review of patients discharged from our geriatric unit was performed before and after intervention. Outcomes assessed were as follows: vitamin D measurement, bone protection medication and communication to general practitioners.
RESULTS: Sixty-one patients were included in the initial audit, and 82 in the reaudit. There was an increase in measurement of vitamin D levels (86.6% vs 57.4%, P < 0.001) and in the communication to the general practitioner (84.7% vs 28.6%, P < 0.001). Patients in the reaudit were more likely to have vitamin D initiated or increased (43.0% vs 7.4%, P = 0.001) and to have antiresorptive therapy commenced (9.8% vs 0%, P = 0.01).
CONCLUSION: The introduction of simple education and mnemonic strategy has shown significant improvement in the assessment and management of bone health in at-risk patients.
METHODS: A retrospective review of patients discharged from our geriatric unit was performed before and after intervention. Outcomes assessed were as follows: vitamin D measurement, bone protection medication and communication to general practitioners.
RESULTS: Sixty-one patients were included in the initial audit, and 82 in the reaudit. There was an increase in measurement of vitamin D levels (86.6% vs 57.4%, P < 0.001) and in the communication to the general practitioner (84.7% vs 28.6%, P < 0.001). Patients in the reaudit were more likely to have vitamin D initiated or increased (43.0% vs 7.4%, P = 0.001) and to have antiresorptive therapy commenced (9.8% vs 0%, P = 0.01).
CONCLUSION: The introduction of simple education and mnemonic strategy has shown significant improvement in the assessment and management of bone health in at-risk patients.
Предметные рубрики MeSH
AgedAged, 80 and overBiomarkersBone Density Conservation AgentsChecklistDietary SupplementsFemaleGeneral PractitionersGeriatricsHumansInpatientsInterdisciplinary CommunicationMaleMedical AuditNew South WalesOsteoporosisPatient Care TeamPatient Discharge SummariesReminder SystemsRetrospective StudiesVitamin D