Summary of the Consensus Statements on Osteoporosis Prevention, Diagnosis, and Treatment in the Philippines

Li-Yu, Julie; Perez, Emmanuel C; Cañete, Arturo; Bonifacio, Lauro; Llamado, Lyndon; Martinez, Romil; Lanzon, Allan; Sison-Peña, Cherrie Mae

doi:10.15605/jafes.027.02.04

Cited by 1 publication

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 84%

“…The comparable number between both groups suggests that compliance with and adherence to internationally-recognized standards of care is possible even in a low-resource setting such as the Philippines. 4,8,15 Baseline parameters such as age, fracture type, and surgical method (arthroplasty versus fixation) were found to be comparable between both groups, with some notable observations. An Australian report determined a 20-25% mortality rate within the first year following surgery for a hip fracture, with poorer outcomes and more complications associated with increasing age and the presence of multiple systemic illnesses.…”

Section: Discussionmentioning

confidence: 88%

“…Included among these are pulmonary and urinary tract infections, as well as cardiovascular events. [3][4][5] Sixty percent of patients surviving a hip fracture are unable to return to their previous level of activity, requiring either assistance while walking, or full-time nursing care. 6,7 In the Philippines, this is further complicated by financial issues.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Comparison of Complication Rates between Early and Delayed Surgery among Filipino Patients with Fragility Fractures of the Hip

2023

Acta Med Philipp

View full text Add to dashboard Cite

Objectives. Existing standards of care recommend operative management for fragility fractures of the hip. Early intervention has been associated with lower incidence of morbidity and mortality. A lack of consensus remains in the Philippines however, regarding timing of surgery. We sought to determine the effects of surgical timing on in-hospital complications among Filipino patients with fragility hip fractures.Methods. All patients admitted for fragility hip fractures in a single tertiary-care facility from 2014-2016 were analyzed retrospectively. Subjects treated within 72 hours were grouped under "early intervention," while those managed beyond were designated "delayed intervention." Primary outcomes were complications during admission, while secondary outcome was length of hospital stay. A total of 96 patients met our inclusion criteria, of which 41 (42.71%) underwent early intervention. Baseline characteristics for both groups were comparable. Results.A significantly lower incidence of pressure ulcers (2.4% for ≤72hours vs 45.5%; p=<0.0001), pneumonia (7.32% vs 47.27%; p=<0.0001), and urinary tract infection (4.88% vs 40%; p=<0.0001), as well as shorter hospital stay (mean: 8.85 days±5.4 vs 14.6 days±13.3; p=0.01) were seen in the early intervention group. More cases of documented deep vein thrombosis were recorded in the delayed intervention group (83.3% versus 16.6%), as was the only case of in-hospital mortality. Conclusion.Early intervention showed a significantly lower incidence of in-hospital complications among patients with fragility fractures of the hip, suggesting that surgery within 72 hours may lead to better outcomes by helping to reduce the incidence of pressure sores, pneumonia, and urinary tract infection among Filipinos with hip fractures, while reducing length of admission.

show abstract

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 88%