More detailed information about this protocol, references, and ways to contact the investigators can be obtained from Clay Wertheimer, M.D.
Protocol for Hip Fracture Care Path:
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Orders:
Post Major Orthopedic Procedure Orders
Orthopedic Hip Fracture Admission Orders
Orthopedic Surgery Discharge Orders
The goals of this project are:
The patients included in this project will be patients with hip fractures who are:
- 65 years or older or;
- 10 years or later past menopause or;
- Taking glucosteroids for 3 months or longer.
The goals of the project will be achieved by:
- Evaluating osteoporosis with urinary NTx (cross-linked N-telopeptides of type I collagen) / Creatinine ratio and serum Calcium and TSH levels upon admission along with a baseline DEXA scan prior to discharge;
- Treating osteoporosis with Risedronate (Actonel, Proctor & Gamble) a pyridinyl bisphosphonate, Vitamin D and calcium supplements;
- Collecting follow-up data to assess whether the treatment is effective by measuring urinary NTx/Cr ratio six weeks post discharge to determine whether the patient is taking the Actonel and obtaining a repeat DEXA scan one year post discharge to compare the baseline study and assess the efficacy of the treatment;
- Improve clinical outcomes by initiating standardized nutritional supplementation protocols and standardized prophylaxis against deep venous thrombosis while patients are in the hospital.
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