Avaliação da indicação de tratamento para osteoporose em pacientes hospitalizados no hospital universitário da universidade federal de Sergipe

Abstract

Objective: To identify risk factors for osteoporosis and osteoporotic fracture in individuals older than 50 years using the FRAX tool and the NOGG methodology. Method: This is a descriptive and cross-sectional study in individuals over 50 years of age, hospitalized at HU-UFS. The data were obtained through the application of the FRAX tool and the NOGG methodology, in the form of a questionnaire, structured and developed for this study. Results: The study sample consisted of 60 patients hospitalized at HU-UFS, aged 65.9 ± 9.1 years. Regarding gender, 35 (58.3%) were women, 36 (60.0%) non-white. Only 6 (10%) reported having a diagnosis of osteoporosis. In our sample, 32 (53.4%) participants should have been submitted to DXA only by WHO criteria. When considering clinical FRAX results for absolute fracture risk, 22 (36.7%) had absolute risk for hip fractures and two had risk for major fracture. Regarding NOGG, we observed that for the risk of hip fracture, six (10.0%) presented low risk; 31 (51.7%), intermediate risk and 23 (38.3%), high risk. Regarding the major fracture, eight (13.3%) presented low risk, 42 (70%) intermediate risk and 10 (16.7%) high risk. Through clinical FRAX, we identified 22 individuals at risk of hip fracture, and through NOGG, 23 had a high risk of fracture. Conclusion: FRAX and NOGG are useful and have good correlation for identifying patients susceptible to fractures where DXA is not accessible.