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Effects of the falls and fractures clinic as an integrated multidisciplinary model of care in Australia: A pre–post study

BMJ Open Aug 02, 2019

Gomez F, Curcio CL, Brennan-Olsen SL, et al. - In the outpatient setting, researchers executed and assessed a novel combined model of care to the evaluation and prevention of osteoporosis and falls. Pre- and post-effects evaluation of 106 community-dwelling elderly patients referred from the community was done. About 97% and 47.6% of patients had a fall in the prior 6 months and suffered a fracture from the fall, respectively. Moreover, 64%, 90% and, 78% of patients had a marked risk for falling by Physiological Profile Assessment (PPA), an intermediate–high 10-year probability of fracture according to FRAX and had sarcopenia, respectively. A more than an 80% decline in falls and recurrent falls and a 50% decrease in fractures was noted at a 6-month follow-up. Furthermore, 65% and 57% of patients had decreased PPA and a decline in 10-year fracture probability, respectively. Even over a relatively short 6-month time span, a multidisciplinary Falls and Fractures Clinic could give substantial decreases in falls and fractures for high-risk elderly people.

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