Guessous et al developed a score for predicting the risk of an osteoporotic fracture in a postmenopausal woman. This can help to identify a woman who may benefit from more aggressive management. The authors are from Lausanne University Hospital in Switzerland.
Patient selection: postmenopausal female from 70 to 85 years of age
Parameters:
(1) age in years
(2) stiffness index on quantitative heel ultrasonography (US)
(3) history of recent fall
(4) history of fracture
(5) chair test (ability to get up from a chair 3 times in quick succession without using her arms)
|
Parameter |
Finding |
Points |
|
age in years |
<= 75 years |
0 |
|
|
76 to 80 years |
2 |
|
|
81 to 85 years |
3 |
|
stiffness index |
< 60 |
7.5 |
|
|
60 to 78 |
5 |
|
|
> 78 |
0 |
|
history of recent fall |
no |
0 |
|
|
yes |
1.5 |
|
history of fracture |
no |
0 |
|
|
yes |
1 |
|
chair test |
passed |
0 |
|
|
failed |
1 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 14
• The higher the score the greater the risk for osteoporotic fracture.
• A score => 4.5 was considered high risk for osteoporotic fracture.
Performance:
• The sensitivity of the score was 90% but the specificity was aournd 23% (good sensitivity, poor specificity, many false positives).
Specialty: Surgery, orthopedic, Endocrinology, Nutrition
ICD-10: ,
