Patients hospitalised with vertebral fragility fractures were elderly, multimorbid and frail and lead to poor outcomes. Their hospital treatment needs to consider this alongside their acute fracture. A systematic organised model of care, such as an adaptation of orthogeriatric hip fracture care, will offer a more holistic approach potentially improving their outcomes. PURPOSE Patients admitted to hospital with vertebral fragility fractures are elderly and have complex care needs who may benefit from specialist multidisciplinary input. To date, their characteristics and outcomes have not been reported sufficiently. This study aims to justify such a service. METHODS Patients admitted with an acute vertebral fragility fracture over 12 months were prospectively recruited from a university hospital in England. Data were collected soon after their admission, at discharge from hospital and 6 months after their hospital discharge on their characteristics, pain, physical functioning, and clinical outcomes. RESULTS Data from 90 participants were analysed. They were mainly elderly (mean age 79.7 years), multimorbid (69% had ≥ 3 comorbid condition), frail (56% had a Clinical Frailty Scale score ≥ 5), cognitively impaired (54% had a MoCA score of < 23) and at high risk of falls (65% had fallen ≥ 2 in the previous year). Eighteen percent died at 6 months. At 6 months post-hospital discharge, 12% required a new care home admission, 37% still reported their pain to be severe and physical functioning was worse compared with their preadmission state. CONCLUSION Patients hospitalised with vertebral fragility fractures were elderly, multimorbid, frail and are susceptible to persistent pain and disability. Their treatment in hospital needs to consider this alongside their acute fracture. A systematic organised model of care, such as an adaptation of orthogeriatric hip fracture care, will offer a more holistic approach potentially improving their outcomes.

中文翻译：

---

诺丁汉脊柱健康 (NoSH) 研究：一项针对因椎体脆性骨折住院患者的队列研究。


因椎体脆性骨折住院的患者年龄较大、患有多种疾病且身体虚弱，导致预后不佳。他们的医院治疗需要将这一点与急性骨折一起考虑。系统化的护理模式，例如老年髋部骨折护理的调整，将提供更全面的方法，有可能改善其结果。目的 因椎体脆性骨折入院的患者均为老年人，具有复杂的护理需求，他们可能会受益于专家的多学科输入。迄今为止，其特征和结果尚未得到充分报道。本研究旨在证明此类服务的合理性。方法 前瞻性地从英格兰一所大学医院招募了因急性椎体脆性骨折入院 12 个月以上的患者。在入院后不久、出院时和出院后 6 个月收集有关其特征、疼痛、身体功能和临床结果的数据。结果 对 90 名参与者的数据进行了分析。他们主要是老年人（平均年龄 79.7 岁）、多病患者（69% 患有 ≥ 3 种合并症）、体弱（56% 临床衰弱量表评分 ≥ 5）、认知障碍（54% MoCA 评分 < 23）和跌倒风险较高（65% 在上一年跌倒≥ 2 次）。百分之十八在六个月时死亡。出院后 6 个月，12% 的人需要入住新的护理院，37% 的人仍然报告与入院前的状态相比，他们的疼痛很严重，身体功能也更差。结论 因椎体脆性骨折住院的患者年龄较大、患有多种疾病、身体虚弱，容易出现持续性疼痛和残疾。他们在医院的治疗需要将这一点与急性骨折一起考虑。 系统化的护理模式，例如老年髋部骨折护理的调整，将提供更全面的方法，有可能改善其结果。