Background:
An initial fragility fracture increases risk of subsequent fracture two- to three-fold; the highest risk is evident within the first two years (1). Despite the known benefit in prompt treatment post-fracture, underutilisation of anti-resorptive medications is widespread (2). The Australian & New Zealand Hip Fracture Registry shows hip fractures, the fracture with the highest morbidity and mortality, remain sub optimally managed (3, 4). After consultation with stakeholders, Best Practice Alerts (BPA) were implemented with a built-in treatment pathway to improve Vitamin D testing, inpatient Vitamin D treatment, and pre-discharge anti-resorptive treatment initiation in patients with hip fracture.
Methods:
Hip fracture admission pre-BPA implementation was captured via the REStORing health of acutely unwell adulTs cohort (May 2019 – March 2020), and via electronic medical record post-BPA implementation (March - July 2021). Three BPAs were implemented: 1) order for Vitamin D testing triggered by inpatient hip fracture diagnosis, 2) order for colecalciferol triggered by vitamin D result ≤50 nmol/L AND vitamin D not already charted, 3) order for anti-resorptive treatment triggered by the discharge summary. The introduction of BPAs was supported by targeted education of stakeholders. Patient discharge medications were compared pre- and post-BPA implementation.
Results:
BPA fired 572 times in 75 hip fracture patients [age (mean ± SD) 79.5±8.9yrs, 61.3% female]. Parameters which did not differ pre- (n=58) and post-implementation were vitamin D testing (96.6% vs 97.3%), vitamin D level (62.5 vs 68.3 nmol/L), vitamin D treatment at discharge (75.9% vs 88%) and anti-resorptive treatment on admission (15.5% vs 20%). Anti-resorptive treatment rate on discharge increased 3-fold post-BPA implementation (21% vs 68%, p=<0.001).
Conclusion:
Automated BPA with an incorporated evidence-based treatment pathway provides a powerful tool to assist medical staff in overcoming the secondary fracture prevention care gap. Further fine-tuning will reduce redundant firing of BPA and avoid “alert fatigue”.