P-765: Characteristics compared between fragility hip fracture patients followed in a geriatric Fracture Liaison Service (FLS) and non-followed patients

摘要

Introduction: Fragility hip fracture (HF) is important because they lead to a functional impairment in elderly patients. FLS program objective is to improve the treatment of these patients in order to prevent secondary fractures. The aim of this study was to compare the characteristics of patients with fragility HF followed in a FLS and non-followed patients. Methods: An observational retrospective study was carried out. It included HF patients admitted during 1 year in an orthogeriatric unit at Hospital La Paz. During hospitalization variables: age, physical function (Barthel Index -BI-, independent for walking); at admission and discharge: living place, location at discharge, diagnostic's number were analyzed. Results: A total of 895 patients were included; 223 (24.5%) patients were selected to be followed in a FLS. The mean time until consultation was 103 days. Lived at home 97.3% followed and 70.3% non-followed patients. The 78.8% followed patients and 57.6% non-fol-low were independent for walking. IB was 94.4 (± 8.1) vs 73.1 (± 24.4) followed and non-followed respectively. After the hospitalization 39.5% of FLS patients returned to home, 54.7% went to a rehabilitation unit and 4% entered in a nursing home. On the other hand, patients who didn't attended to FLS: 20%, 37.6% and 33.4% respectively. Number of diagnostic were 7.25 (± 2.6) in followed and 8.5 (± 5.5) non-followed patients. Conclusions: Patients who attended to a FLS are more independent and had less comorbidities than non-followed patients. Also the majority of followed HF patients lived at home, and at discharge went to a rehabilitation unit.