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Nuestra experiencia en la creación de una consulta FLS tras el consenso del protocolo en el tratamiento integral de la fractura de cadera

Our experience in creating an FLS consultation after protocol consensus in the comprehensive treatment of hip fracture.

SANTANA-ZORRILLA S, HERNÁNDEZ-HERRERO M, SANTILLANA-RUÍZ J, ÁVILA-GELLIDA M, MARTÍNEZVERGARA JL, HONRUBIA-ESCRIBANO C, ESTEBAN-TUDELA C, APARISI-MIRALLES T, VALERO-QUERALT MA. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL COMARCAL DE VINARÓS
Recepción:
16/04/2024
Aceptación:
16/04/2024
Publicación:
16/04/2024


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Resumen (ES)

Hip fracture is a pathology that is increasing rapidly. The frequent coexistence, in elderly, of factors that favor
falls and associated medical comorbidity, make this group of patients especially predisposed to presenting serious medical
complications related to the fracture.The creation of multidisciplinary care protocols and Fracture Liaison Service (FLS)
have shown to improve the quality of care in comprehensive patient care. Material and methods: Being aware of these
data, we considered that we should join efforts among all the services involved, creating a multidisciplinary hospital care
protocol. We keep going until we create an FLS. In it, we carry out prescription and control of adherence to fragility
fracture treatment, and advice regarding hygienic-dietary measures and fall prevention. We present our experience in the
development of a multidisciplinary protocol, which we have been completing up to the present, with the implementation of
an FLS. Results: As a consequence of the implementation of the hip fracture protocol and the FLS , we have managed to
agree on a model of action in the face of this pathology and to integrate the different services involved. Conclusions: The
creation of protocols in the integral treatment of hip fracture allows improving the care of these patients and achieving
better clinical and functional results. We are aware of the difficulties in carrying out these measures, so we present our
experience in the creation of this query, in case it could be useful for other services considering the implementation of an
FLS

Palabras clave (ES):

de
Unidad
prevención
de
caídas
fractura
de
cadera
ancianos
fractura
por
fragilidad
Fracture
Liaison
Service

Resumen (EN)

Hip fracture is a pathology that is increasing rapidly. The frequent coexistence, in elderly, of factors that favor
falls and associated medical comorbidity, make this group of patients especially predisposed to presenting serious medical
complications related to the fracture.The creation of multidisciplinary care protocols and Fracture Liaison Service (FLS)
have shown to improve the quality of care in comprehensive patient care. Material and methods: Being aware of these
data, we considered that we should join efforts among all the services involved, creating a multidisciplinary hospital care
protocol. We keep going until we create an FLS. In it, we carry out prescription and control of adherence to fragility
fracture treatment, and advice regarding hygienic-dietary measures and fall prevention. We present our experience in the
development of a multidisciplinary protocol, which we have been completing up to the present, with the implementation of
an FLS. Results: As a consequence of the implementation of the hip fracture protocol and the FLS , we have managed to
agree on a model of action in the face of this pathology and to integrate the different services involved. Conclusions: The
creation of protocols in the integral treatment of hip fracture allows improving the care of these patients and achieving
better clinical and functional results. We are aware of the difficulties in carrying out these measures, so we present our
experience in the creation of this query, in case it could be useful for other services considering the implementation of an
FLS

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