Patients with vertebral fragility fractures treated in hospital – could we do better?

Terence Ong is a Research Fellow funded by the Dunhill Medical Trust at the Department for Healthcare of Older People, Nottingham University Hospitals NHS Trust. He discusses his Age and Ageing Paper Characteristics and outcomes of hospitalised patients with vertebral fragility fractures: a systematic review. He tweets @terenceongkk

Vertebral fragility fractures have received much attention lately due to growing research interest and increased awareness driven by high-profile osteoporosis groups such as the International Osteoporosis Foundation (through its vertebral fracture initiative) and the National Osteoporosis Society.

There is growing literature to support how well vertebral fragility fractures predicts future fractures, morbidity and risk of mortality. However, what has been lacking is research exploring the specific cohort of people with vertebral fractures who are admitted to hospital. Continue reading

Can Comprehensive Geriatric Assessment make a difference to care home residents?  

Adam Gordon is Clinical Associate Professor in Medicine of Older People at the University of Nottingham, a visiting Professor at City University London and an Honorary Consultant Geriatrician at Derby Teaching Hospitals NHS Foundation Trust.  He tweets @adamgordon1978.  Here he talks about a new research project considering the value of CGA in care home residents

Comprehensive Geriatric Assessment (CGA) works. At least, it does when performed in an inpatient setting in an acute hospital. This has been shown over numerous systematic reviews and meta-analyses to be the case.  Older people with frailty who receive CGA experience better outcomes in terms of functional status, cognition, readmissions to hospital and numbers of days spent at home.

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