The Effectiveness of Phrae FLS for preventing recurrence hip fractures in hip fracture patients, Phrae Hospital

Abstract

Background: Hip fractures are more common among the elderly. Reducing the number of recurrent fractures is crucial. The International Osteoporosis Foundation uses Fracture Liaison Service (FLS) concept is being employed to monitor patients with hip fractures. Phrae Hospital uses the Phrae Fracture Liaison service (Phrae FLS) program to avoid recurrence fractures.

Objective:      To determine the effectiveness of the Phrae FLS program on the incidence of recurrent fractures in hip fracture patients, compared with the routine care group in Phrae Hospital.

Study design: The non-RCT Efficacy Research, enrolled all patients with hip fractures aged 50 years and older undergoing surgery for Fragility fracture. Forty-seven subjects were assigned to the control group, who received routine care. The intervention group of fifty subjects, who visit a clinic to prevent recurrence fractures, received the Phrae FLS program after surgery for 1 year. The study was conducted between April 2018 and April 2021. Data were analyzed by using descriptive statistics, exact probability test, and independent t-test.

Results:         In hip fracture patients, the baseline characteristics and clinical features were not significantly different between the intervention and control groups. After 1 year follow-up, the two groups had different characteristics containing Fall score (p=0.013), Blood albumin level (p=0.013), Barthel Index score (p<0.001), Time up and go (p=0.010), Balance test (p=0.001). The intervention group had no recurrence fractures within 1 year, while the recurrence of the control group was 6.4 percent (p=0.110).          

Conclusions: The Phrae FLS uses a Multifactorial intervention in hip fracture patients to decrease the incidence of recurrence fractures, and the patients can live a normal life.

Keywords:     Phrae FLS program, hip fracture, recurrence hip fracture