Poster Presentation Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2026

Longer-term outcomes of patients with low traumatic hip fracture from a non-english speaking background: a 12 to 24 month follow-up study (#293)

Tamika Baker 1 2 , Brigitte Gerstl 3 , Carlos El-Haddad 3 4 5 , Daraveasna Daing 4 , Khuong D Hoang 1 , Bao N Huynh 1 , Justine Naylor 1 3 , Danielle Ní Chróinín 3 4 , Seema Radhakrishnan 3 6 , Lynette McEvoy 4 , David Lieu 4 , Geraldine Hassett 4 , Steve Frost 1 7 , Bernadette Brady 4 8 9 , Elise Tcharkhedian 4 , Thuy Anh Bui 1 2 3
  1. Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia
  2. School of Life Science, University of Technology Sydney , Sydney, NSW, Australia
  3. School of Clinical Medicine, UNSW Medicine & Health, Sydney, NSW, Australia
  4. Liverpool Hospital, Liverpool, NSW, Australia
  5. Western Sydney University, Sydney, NSW, Australia
  6. Fairfield Hospital, Prairiewood, NSW, Australia
  7. School of Nursing Faculty of Science, University of Wollongong, Wollongong, NSW, Australia
  8. University of Sydney, Sydney, NSW, Australia
  9. Western Sydney University, Sydney, NSW, Australia

Aims: To examine longer-term outcomes following low trauma hip fracture (LTHF) and assess associations between attendance at an Osteoporosis Re-Fracture Prevention (ORP) clinic and outcomes among community-dwelling older adults, including from non-English speaking backgrounds (NESBs).

 

Methods: Prospective study of adults aged ≥50 years with surgically managed LTHFs at a tertiary hospital, discharged to the community, with 12-24 months follow-up. Outcomes include medical data and patient reported outcomes. Multivariable regression models adjusted for age, sex, NESB, and select comorbidities.

 

Results: Amongst 371 potentially eligible patients, 209 had follow-up data (mean age 79.2 years; 65.1% female; 43.5% NESB); 133 (64%) completed telephone follow-up, 16% had died and 19% had entered a residential aged care facility (RACF). On adjusted analysis, patients who attended ORP were more likely to be alive (6.1% vs 33.3%; OR 0.13, 95% CI 0.06-0.31, p<0.001) and less likely to newly need RACFs (9.2% vs 35.9%; OR 0.20, 95% CI 0.09-0.45, p<0.001). Likewise, ORP attendants more often had osteoporosis medication prescription (OR 6.86, 95% CI 2.30-20.43) and adherence (OR 4.61, 95% CI 1.71-12.44), as well as better health-related quality of life (p=0.009), lower pain (p=0.007), and reduced fear of falling (p=0.037).

NESB was not associated with assessed outcomes, however exercise participation remained lower among NESB participants (OR 0.30, 95% CI 0.13-0.65, p=0.002).

 

Conclusions: In this select cohort of adult patients with LTHF discharged to community post-fracture, ORP clinic attendance was associated with differences in survival, RACF admission, treatment adherence and patient reported outcomes at 12-24 months within a diverse population.