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01-12-2023 | Refracture | Original Article

Fracture liaison services combined with online home nursing care in fragility hip fracture: a comparative effectiveness pilot study

Authors: Hehuan Lai, Jialin Fan, Huan Liu, Xiufen Wu, Lingming Wang, Liumei Gao, Lili Zhou, Tingting Chen, Le Zhang, Jing Chen, Zhiping Luo

Published in: Archives of Osteoporosis | Issue 1/2023

Abstract

Summary

Fracture liaison service (FLS) is a management system for osteoporotic fractures, its difficulty lies in long-term management. Through this pilot single-center study, we found that FLS combined with an internet-based follow-up service (online home nursing care) can economically and conveniently monitor patients, reduce falls and refractures, and improve care and medication adherence.

Introduction

Among potential e-health platforms, mobile internet encompasses the largest user group of mobile instant messaging software in Asia and offers strong interaction, low cost, and fast speed. The online home nursing care model prevents unnecessary hospital admissions and readmissions. This study aims to explore the effects of a fracture liaison service (FLS) model combined with online home nursing care on patients with fragility hip fracture.

Methods

Patients discharged after November 2020 received FLS care combined with online home nursing care. Patients discharged from May 2020 to November 2020 received only routine discharge guidance and were classified as the control group. The Parker Mobility Score (PMS), Medical Outcomes Study 36-item short-form health survey (MOS SF-36), general medication adherence scale (GMAS), complication rate, and fall/refracture rates were used to evaluate the efficacy of the FLS combined with online home nursing care during the 52-week follow-up period.

Results

Eighty-nine patients with complete follow-up information were included in the analysis at the 52-week follow-up. The FLS combined with online home nursing care was associated with improved osteoporosis patient care, including increased medication adherence (64.58% in the control group and 90.24% in the observation group), improved mental quality of life, reduced fall/refracture rate (12.5% and 4.88%, respectively), and reduced rates of bedsores and joint stiffness; however, there was no effect on functional recovery within 1 year.

Conclusions

We recommend the combination of FLS with online home nursing care, considering the local environment, to economically and conveniently monitor patients, reduce falls and refractures, and improve care and medication adherence.

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Title: Fracture liaison services combined with online home nursing care in fragility hip fracture: a comparative effectiveness pilot study
Authors: Hehuan Lai
Jialin Fan
Huan Liu
Xiufen Wu
Lingming Wang
Liumei Gao
Lili Zhou
Tingting Chen
Le Zhang
Jing Chen
Zhiping Luo
Publication date: 01-12-2023
Publisher: Springer London
Keywords: Refracture
Care
Osteoporosis
Osteoporosis
Published in: Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-023-01221-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Fracture liaison services combined with online home nursing care in fragility hip fracture: a comparative effectiveness pilot study

Abstract

Summary

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusions

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