Avaliação de fatores de risco para fratura osteoporótica e aplicação da ferramenta FRAX clínico em pacientes hospitalizados

Abstract

OBJECTIVE: To identify whether hospitalized tertiary public service users are evaluated to identify risk factors for osteoporosis and osteoporotic fracture. METHODS: This is a descriptive and cross-sectional study with convenience sampling of individuals over 50 years of age, of both sexes, admitted to a tertiary public hospital ward. Data collection was performed using one that addressed demographic data (gender, weight, height, race) risk factors for osteoporosis and fracture (menopause, medications in use, associated pathologies, previous fractures, family history of osteoporosis, smoking and alcoholism, use of mediations). RESULTS: Of the 60 patients, 22 (36.7%) had absolute risk for hip fractures and two (3,3%) for major fractures using the FRAX. The frequency of fracture risk increases in the older age groups. The application of the FRAX tool would reduce by 43.8% of DXA indications, as out of 32 (53.4%) patients with formal indication for DXA, according to WHO recommendations, only 14 (23.4%) would need to be performed. DXA after using FRAX. CONCLUSION: Tertiary utility patients are underdiagnosed and undertreated for osteoporosis, although there is a useful and simple tool to use.