Table 2.
Comparison of outcomes before and after Police General Hospital’s Fracture Liaison Service implementation.
| Variable | Before project [7] (n = 120) | After project (n = 353) | P-value |
|---|---|---|---|
| Type of treatment | 0.015∗ | ||
| Conservative | 21 (17.5%) | 33 (9.35%) | |
| Surgery | 99 (82.5%) | 320 (90.65%) | |
| Arthroplasty | |||
| Hemiarthroplasty | 39 (32.5%) | 138 (39.09%) | |
| Total hip arthroplasty | 4 (3.3%) | 9 (2.55%) | |
| Fixation | |||
| Cephalomedullary nail | 41 (34.2%) | 142 (40.23%) | |
| Plate | 12 (10.0%) | 27 (7.65%) | |
| Multiple screws |
3 (2.5%) |
4 (1.13%) |
|
| Time to surgery, day | No data | 5.2 ± 2.8 | NA |
| Arthroplasty | 7.9 | 5.4 ± 3.5 | < 0.001∗ |
| Fixation |
7.9 |
5.0 ± 1.5 |
< 0.001∗ |
| Hospitalization, day | No data | 21.2 ± 5.6 | NA |
| Surgery | 23.2 | 19.6 ± 8.4 | <0.001∗ |
| Conservative |
25.9 |
24.1 ± 6.8 |
0.002∗ |
| Post-injury BMD evaluation rates |
34 (28.3%) |
303 (85.84%) |
< 0.001∗ |
| 2nd osteoporosis and fall risks assessment | No data | 353 (100.0%) | NA |
| Cumulative death | |||
| 30-day mortality | No data | 4 (1.13%) | |
| 90-day mortality | No data | 11 (3.12%) | |
| 180-day mortality | No data | 17 (4.82%) | |
| 1-year mortality |
11 (9.2%) |
21 (5.95%) |
0.225 |
| Cause of death | No data | NA | |
| Pneumonia | 7 (33.33%) | ||
| Septicemia | 4 (19.05%) | ||
| Infected pressure sore | 2 (9.52%) | ||
| Acute myocardial infarction | 2 (9.52%) | ||
| Gastrointestinal hemorrhage | 2 (9.52%) | ||
| Multiple myeloma | 1 (4.77%) | ||
| Other (Unidentified cause) | 3 (14.29%) | ||
Values are presented as mean ± standard deviation or number (%).
NA, not assessed; Min, minimum; Max, maximum.
∗statistically significant.