engleski

Setting the secondary fracture liaison programme at the University Hospital Centre as an example for the nationwide service in Croatia

Objectives. To plan, elaborate and apply a multidisciplinary secondary fracture liaison programme at the University Hospital Centre in Croatia, as an example for the nationwide service in Croatia. Materials and methods. Atthe initiation meeting medical doctors of different specialties were informed on the concept of secondary osteoporotic fracture prevention. After the relevant literature search an assessment of the current health-care system in Croatia and specifically of the University Hospital Centre Sestre milosrdnice in Zagreb was performed and multidisciplinary team was built. The programme was put forward to the broader audience at the symposium which was held for the World Osteoporosis Day. The conclusions of the meetings were transformed into the action plan and implemented in everyday practice. Results. A need for a systematic approach, where capture of patients is automatic, a major involvement of the orthopaedic surgeon and a coordinator-based service were appreciated during the development of this secondary prevention programme. We set our goals, identified the patients with fragility hip fractures to be more appropriate for intervention, we agreed on the roles assigned for each member of the team (including three dedicated nurses at the orthopedic surgeons’ wards as coordinators), developed a questionnaire in order to assess the risks for fragility fractures as a basis for cycle goals and measurement what was done, looked for improvement and determined the evolving actions until goals are met. The implementation of the programme started with no major difficulties and the level of compliance is high. Conclusion. We developed and implemented the coordinator-based programme of secondary fractures. In this still ongoing fracture liaison service we have seen that the system with dedicated coordinators is effective in our University Hospital Centre and is a potential model to become a standard of care for patients with fragility fractures in Croatia.

secondary fracture ; programme ; Croatia

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