Archives of Orthopaedic and Trauma Surgery

, Volume 129, Issue 2, pp 245–250 | Cite as

Interventions to improve inpatient osteoporosis management following first osteoporotic fracture: the PREVENT project

  • Pedro Carpintero
  • Enrique Gil-Garay
  • Daniel Hernández-Vaquero
  • Humbert Ferrer
  • Luis Munuera
Osteoporotic Fracture Management



To establish a protocol for the treatment of fragility fractures in the hospital setting based on treatment of osteoporosis.

Materials and methods

An intervention protocol was implemented in patients with fragility fractures based on (1) indicating the diagnosis of osteoporotic fracture in the summary of discharge; (2) “lifestyle recommendations”; and (3) therapy for osteoporosis. Thirty-one hospitals were involved and they were informed of the importance of protocol compliance. In the first phase, a retrospective study was conducted to establish the number of low-energy fractures treated and the percentage of them that had complied with the protocol (n = 887). Then, prospectively, the same data were collected for the patients managed for 1 year (n = 6,826) in three sections of 4-month intervals.


The percentage of compliance increased from 8.2 to 57.2% in the first point, from 12.6 to 42.4% in the second, and from 10.3 to 43.2% in the third.


The implementation of programs to improve osteoporosis treatment is very useful for ensuring adherence in the management of osteoporosis following admission due to fragility fracture.


Osteoporotic fractures Osteoporosis treatment Secondary prevention 



Financial support for this study was obtained from Merck Sharp and Dohme, Spain.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Pedro Carpintero
    • 1
  • Enrique Gil-Garay
    • 2
  • Daniel Hernández-Vaquero
    • 3
  • Humbert Ferrer
    • 4
  • Luis Munuera
    • 2
  1. 1.University Hospital Reina SofiaCordobaSpain
  2. 2.University Hospital La PazMadridSpain
  3. 3.University Hospital San AgustinAvilesSpain
  4. 4.Hospital Mutua De TarrasaTarrasaSpain

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