Underdiagnosis and undertreatment of osteoporotic patients admitted in internal medicine wards in Italy between 2010 and 2016 (the REPOSI Register)

Purpose To evaluate clinical features, treatments, and outcomes of osteoporotic patients admitted to internal medicine and geriatric wards compared with non-osteoporotic patients (REPOSI registry). Methods We studied 4714 patients hospitalized between 2010 and 2016. We reported age, sex, educational...

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Bibliographic Details
Published in:Endocrine 2021-02, Vol.71 (2), p.484-493
Main Authors: Pepe, Jessica, Agosti, Pasquale, Cipriani, Cristiana, Tettamanti, Mauro, Nobili, Alessandro, Colangelo, Luciano, Santori, Rachele, Cilli, Mirella, Minisola, Salvatore
Format: Article
Language:English
Subjects:
Bisphosphonates
Calcium
Cognitive ability
Creatinine
Diabetes
Diagnosis
Endocrinology
Geriatrics
Hemoglobin
Humanities and Social Sciences
Internal Medicine
Medicine
Medicine & Public Health
multidisciplinary
Original Article
Osteoporosis
Patients
Rehabilitation
Science
Vitamin D
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Summary:Purpose To evaluate clinical features, treatments, and outcomes of osteoporotic patients admitted to internal medicine and geriatric wards compared with non-osteoporotic patients (REPOSI registry). Methods We studied 4714 patients hospitalized between 2010 and 2016. We reported age, sex, educational level, living status, comorbidities and drugs taken, Cumulative Illness Rating Scale (CIRS), Barthel Index, Short-Blessed Test, 4-item Geriatric Depression Scale, serum hemoglobin, creatinine, and clinical outcomes. Osteoporosis was defined based on the diagnoses recorded at admission, according to the following ICD9: 733, 805–813, 820–823. Results Twelve percent of the patients had a preadmission diagnosis of osteoporosis. Only 20% of these had been prescribed oral bisphosphonates; 34% were taking vitamin D supplements. Osteoporotic patients were significantly older, with lower BMI, higher CIRS, and taking more drugs. They were significantly more depressed, less independent, with a higher severity of cognitive impairment compared with non-osteoporotic patients. At discharge, the number of patients receiving treatment for osteoporosis did not change. Length of stay and inhospital mortality did not differ between groups. Osteoporotic patients were more frequently nonhome discharged compared with those without osteoporosis (14.8 vs. 7.9%, p  = 0.0007), mostly discharged to physical therapy or rehabilitation (8.8 vs. 2.5% of patients, p  
ISSN:1355-008X
1559-0100
DOI:10.1007/s12020-020-02553-5