PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AND FACTORS THAT DECREASE PREVENTION

Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention. Metodos: 108 pacientes com FO foram comparados a 86 pacientes com OA. Resultados: Grupo FO era mais velho (p< 0,001), com menor IMC (p<0,001), menos alfabetizado (p = 0,012), com maior frequencia de brancos (p = 0,003), menor frequencia de casados (p< 0,001). Apresentaram mais quedas, deficiencia cognitiva, fraturas previas, fratura antiga, queda no ultimo ano, fraturas por queda. Necessitam de mais auxilio e tomam mais medicamento para osteoporose (p< 0,05); apresentaram menos patologia nos pes, fraqueza muscular. Tomam menos vitamina D e menor Katz & Lawton (p<0,001). Tem aumento da chance de nao aderencia: maior idade (p = 0,020), sedativo (p = 0,020), quedas (p = 0,035), deficiencia cognitiva (p = 0,044) e presenca de depressao/apatia/confusao (p< 0,001). Conclusion: Patient age, ethnicity, marital status, previous falls, foot pathologies, muscle weakness, previous fractures, use of vitamin D, use of osteoporosis drugs, and lower Katz & Lawton scale score defined the OF group. Factors that increased the chance of nonadherence included older age, sedative use, cognitive disorders, and symptoms of depression/apathy/confusion. Level of Evidence III, Case-control.