Screening of Fracture Risk and Osteoporosis Among Older Long-term Care Residents: A Prospective Study
Journal
Journal of Nutrition, Health and Aging
Journal Volume
27
Journal Issue
12
Pages
1255
Date Issued
2023-12-01
Author(s)
Lai, C. Y.
Wang, C. Y.
Hung, C. C.
Yen, H. K.
Wu, C. H.
Ku, L. J.E.
Yu, T.
Li, Chung Yi
Abstract
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.
Subjects
bone mineral density | Fracture risk | long-term care institution | long-term care resident | osteoporosis
Type
journal article