EVALUATION OF OSTEOPOROSIS RISK FACTORS WITH FRAX SCORE IN ELDERLY
Abstract:
World Health Organization (WHO) sustains the introduction in clinical practice of fracture
risk assessment tool (FRAX), an algorithm for evaluation of the fracture risk. FRAX is a tool approved
for evaluation of fracture risk using the measurement of bone mineral density (BMD) at hip by dualenergy
x-ray absorptiometry (DXA) assessment. For each subject, this algorithm evaluates fracture risk
like age, sex, weight, height, previous fracture, parental history of fracture, smocking, treatment with
glucocorticoids, alcohol consumption, rheumatoid arthritis. Recent studies demonstrated the utility of
introduction in FRAX for some another parameters, such as fall risk, bone markers, using of
ultrasonographic assessment of bone mass density and diabetes mellitus. In Romania, FRAX is still little
used by family doctors and specialist doctors. Although it has a number of limitations, FRAX should be
used in medical activity to identify elderly at increased risk of osteoporotic fractures
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