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首页> 外文期刊>Internal medicine journal >Brief telephone intervention increases testing for osteoporosis in patients treated in emergency departments for wrist fractures.
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Brief telephone intervention increases testing for osteoporosis in patients treated in emergency departments for wrist fractures.

机译：简短的电话干预增加了急诊科手腕骨折患者的骨质疏松症检测。

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Previous studies show that identification and treatment of osteoporosis in patients with minimal trauma fractures treated as outpatients are poor. Our aim was to test two interventions designed to increase rates of identification and treatment. This prospective, action research study, using explicit medical record review and scripted telephone interview, was conducted at emergency departments (ED) of three hospitals from April 2007 to February 2008. Participants were patients aged over 50 years who were treated as outpatients with a minimal trauma wrist fracture. Data collected included demographic and fracture details, bone density testing and osteoporosis-related medication change. There were two interventions staff education in ED and fracture clinic and information provided to patients by telephone by a research nurse. These interventions were applied to all patients sequentially. The outcome measure of interest was the proportion of patients who underwent bone density testing (DEXA scans) in the follow-up period, analysed by intervention (clinic or phone). One hundred and seventeen patients were studied. Eighty-six per cent were female; median age 64 years. Ten per cent (12/117) of the ED/clinic intervention group had undergone testing at follow up. At follow up after the telephone intervention 55% (65/117) had undergone testing (P < 0.001, chi(2)). Patients undergoing testing were significantly more likely to have an osteoporosis-related medication change (relative risk 6.8, 95% CI 2.8-17.9). A brief telephone intervention and provision of information pack significantly improved testing rates for osteoporosis after minimal trauma wrist fracture. An ED/clinic-based intervention resulted in low rates of testing. Treatment of clinical osteoporosis remains suboptimal.
机译：先前的研究表明，在门诊治疗的创伤最小的骨折患者中，骨质疏松症的识别和治疗效果不佳。我们的目的是测试旨在提高识别和治疗率的两种干预措施。这项前瞻性，行动研究研究使用了明确的病历审查和书面电话访谈，于2007年4月至2008年2月在三家医院的急诊科（ED）进行。参与者为50岁以上的患者，被视作门诊的患者最少外伤手腕骨折。收集的数据包括人口统计学和骨折细节，骨密度测试以及与骨质疏松症相关的用药变化。在急诊室和骨折诊所对员工进行了两次干预教育，研究护士通过电话向患者提供了信息。这些干预措施依次应用于所有患者。感兴趣的结局指标是随访期间接受骨密度测试（DEXA扫描）的患者比例，通过干预（诊所或电话）进行分析。研究了117例患者。 86％为女性;中位年龄64岁。急诊/诊所干预组中有10％（12/117）接受了随访检查。在电话干预后的随访中，有55％（65/117）接受了测试（P <0.001，chi（2））。接受测试的患者发生骨质疏松症相关药物的可能性明显更高（相对风险6.8，95％CI 2.8-17.9）。简短的电话干预和信息包的提供，可以极大地改善腕关节轻微创伤后骨质疏松症的检测率。急诊/基于诊所的干预导致测试率低。临床骨质疏松症的治疗仍然欠佳。

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