Objective: To test the validity of existing osteoporosis screening tools and develop a new osteoporosis screening tool for long-term care residents. Methods: The study used convenience sampling among long-term care residents from 7 institutions in Yunlin County and 3 Veterans Home in Kaohsiung City, Taiwan. The participants were aged C 50 years and living in long-term care facilities. The study collected baseline characteristics information and calculated several scores to predict osteoporosis. The BMD of the PA spine and hip were measured using the DXA method. Vertebral fractures were identified by Genant’s semiquantitative method, and ROC curves were constructed to assess the clinical utility of existing screening tools. A new screening score was developed according to the methods suggested by Sullivan et al. Results: The study included 444 long-term care residents with a mean age of 81.7 years, and 48.4% of them had osteoporosis. The prevalence of osteoporosis was 37.7% in men and 75.4% in women. The most common site to diagnose osteoporosis was the femoral neck, followed by the total hip and spine. The AUC of ROC for the existing tools was approximately 0.7, which is considered only acceptable. The new screening score had an AUC of 0.78, which was higher than the existing screening tools. Conclusion: The study showed that osteoporosis is common among long-term care residents, and the new screening score has a better predictive ability for osteoporosis. The findings suggest that the new screening tool can be used for osteoporosis screening in long-term care residents.
Date:
2023-07-21
Relation:
Aging Clinical and Experimental Research. 2023 Jul 21;35:S167.
