A novel fracture liaison service using digital health: impact on mortality in hospitalized elderly osteoporotic fracture patients
Main finding · All-cause mortalityResult — go to the resultHazard ratio 0.64 95% CI 0.47–0.87Authors' conclusion
A new FLS model implementation assisted by DH can effectively reduce ACM among elderly patients with OP fractures requiring surgery.
Study context
- Population
- Patients aged ≥ 50 years hospitalised with an osteoporosis (OP) fracture, January 1, 2017 – July 27, 2022, one tertiary-level A hospital in China
- Participants
- 2,317 patients
- Exposure
- Digital health-assisted fracture liaison service (FLS) vs routine fragility fracture management
- FLSn = 756
- no-FLSn = 1,561reference
- Outcome
- All-cause mortality
Methodological detailssingle-centre, propensity score (inverse probability weighting), multivariable Cox regression
- Single-centre
- Propensity score (inverse probability weighting)
- Multivariable Cox regression
Main finding
As reported in the abstract
Hazard ratio
0.64
95% CI 0.47–0.87
P = 0.004
FLSvs no-FLS
HR 0.64 (95% CI 0.47–0.87); P = 0.004
Observational data: associations, not effects.
Further findings
Fall-related mortality, refracture rate, total refracture-related hospital costs, DXA testing and treatment initiation
- FLS: further reductions in fall-related mortality, refracture rate and refracture-related hospital costs; increased DXA testing and treatment initiation rates vs no-FLS
Original publication
A novel fracture liaison service using digital health: impact on mortality in hospitalized elderly osteoporotic fracture patients. Osteoporos Int. Published 12 September 2023. doi:10.
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