Association of hospital-initiated bone densitometry with hospitalization for fragility fracture at Lille University Hospital among adults with chronic obstructive pulmonary disease

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Archives of Osteoporosis Pub Date : 2025-04-09 DOI:10.1007/s11657-025-01534-3

Eléonore Heddebaut, Pierre Balayé, Emeline Cailliau, Olivier Le Rouzic, Cécile Philippoteaux, Julien Paccou

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引用次数: 0

Abstract

Summary

A retrospective study was conducted to calculate the cumulative incidence of hospital-initiated bone densitometry, in the year following hospitalization for fragility fracture in patients with chronic obstructive pulmonary disease. This cohort study demonstrated low rates of hospital-initiated bone densitometry with a 1-year cumulative incidence of 22.6%.

Background

Osteoporosis is one of the most frequent comorbidities in chronic obstructive pulmonary disease (COPD) patients. A study was conducted to assess the management of osteoporosis in COPD patients using the INCLUDE health data warehouse.

Objectives

The primary objective was to calculate the cumulative incidence of hospital-initiated bone densitometry, in the year following hospitalization for fragility fracture in COPD patients.

Patients and methods

A retrospective, monocentric, observational study was conducted at Lille University Hospital with patients identified from January 2013 to December 2021. Patients with COPD, aged 40 or over, and hospitalized for a fragility fracture according to the ICD-10 classification were included. Bone densitometry was indexed according to French Common Procedures Classification (CCAM) acts by INCLUDE.

Results

A total of 365 patients (~ 60% male, mean age 73.5 ± 12.3 years, and median Charlson score 2.0 (1.0; 4.0)) were included. Hospitalization units for fractures were orthopedics (n = 168), geriatrics (n = 46), rheumatology (n = 45), pneumology (n = 24), and others (n = 82). A total of 499 fractures were identified, most of them severe (hip (36.4%), vertebrae (30.1%), proximal humerus (11.5%), pelvis (10.7%), etc.). During the first year, 69 patients (18.9%) died, and 81 underwent hospital-initiated bone densitometry. The cumulative incidence of bone densitometry in the 1st year was 22.6% [CI 95% 18.3–27.1%]. Independent determinants of performing bone densitometry were female gender, low Charlson score, hospitalization in rheumatology, and vertebral fracture(s).

Conclusion

The cumulative incidence of hospital-initiated bone densitometry, within 1 year of hospitalization for a fragility fracture in COPD patients was relatively low.

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里尔大学医院慢性阻塞性肺病成人脆性骨折住院与医院发起的骨密度测定的关系

摘要：我们进行了一项回顾性研究，计算慢性阻塞性肺疾病患者因脆性骨折住院后一年内医院发起的骨密度测量的累积发生率。该队列研究表明，医院发起的骨密度测量率较低，1年累计发生率为22.6%。背景：骨质疏松症是慢性阻塞性肺疾病（COPD）患者最常见的合并症之一。一项使用INCLUDE健康数据仓库评估COPD患者骨质疏松管理的研究。主要目的是计算慢性阻塞性肺病患者脆性骨折住院后一年内医院发起的骨密度测量的累积发生率。患者和方法2013年1月至2021年12月在里尔大学医院进行了一项回顾性、单中心、观察性研究。COPD患者，年龄在40岁或以上，根据ICD-10分类因脆性骨折住院。骨密度测量根据法国通用程序分类（CCAM）法案通过INCLUDE进行索引。结果共365例患者，其中男性约占60%，平均年龄73.5±12.3岁，Charlson评分中位数2.0 (1.0；4.0))被纳入。骨折住院单位为骨科（n = 168）、老年病科（n = 46）、风湿病科（n = 45）、肺病科（n = 24）和其他科室（n = 82）。共发现499例骨折，多数为严重骨折（髋部（36.4%）、椎骨（30.1%）、肱骨近端（11.5%）、骨盆（10.7%）等）。在第一年，69名患者（18.9%）死亡，81名患者接受了医院发起的骨密度测定。第一年骨密度测量累积发生率为22.6% [CI为18.3-27.1%]。进行骨密度测定的独立决定因素为女性、低Charlson评分、风湿病住院和椎体骨折。结论慢性阻塞性肺病患者脆性骨折住院1年内医院发起骨密度测量的累积发生率相对较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Osteoporosis ENDOCRINOLOGY & METABOLISMORTHOPEDICS -ORTHOPEDICS

CiteScore

5.50

自引率

10.00%

发文量

133

期刊介绍： Archives of Osteoporosis is an international multidisciplinary journal which is a joint initiative of the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA. The journal will highlight the specificities of different regions around the world concerning epidemiology, reference values for bone density and bone metabolism, as well as clinical aspects of osteoporosis and other bone diseases.