As population is ageing in most parts of the world, and
people are staying active until an older age, the number of
elderly patients requiring trauma care is growing1
. As per
estimates, geriatric patients with a fracture will represent
40% of all trauma patients by 20502
. Among the geriatric
patients with a fracture one-fourth suffer from high-energy
injuries, while rest present with a fragility fracture3 .
Older patients with a fracture require a special care, as
compared to the younger population they sustain a more
severe injury, require prolonged hospitalisation, and have a
higher mortality rate1
. There exists a different treatment
protocol in literature for older patients with low and high
energy fractures. In addition to fracture treatment, patients
with fragility fractures also undergo extensive laboratory
analysis to diagnose any pre-existing comorbidities during
their follow-up visit in the Fracture Liaison Service (FLS)
The FLS is a multidisciplinary dedicated approach to
manage fragility fractures4
. A subclinical pre-existing
medical condition compromising fracture healing can be
present in more than a quarter of fragility fracture patients4-9.
This approach of care has not only reduced the possibilities
of secondary fractures but also have improved the quality of
life and survival rates10.
However, in the high energy group, comorbidities often go
undiagnosed and untreated since there is no specific protocol
available in the literature for managing comorbidities in them like a dedicated fracture liaison service. The present
study was thus conducted with this intent in mind, to bring to
the fore that high energy group of patients also require a
specific protocol on the lines of fracture liaison service for
detection of their comorbidities similar to the patients in the
low energy group. The objective of the current study was to
test our hypothesis that older patients sustaining high energy
trauma will have altered laboratory parameters as frequently
as the patients with fragility fractures of the same age group.
Therefore, patients with high energy trauma need to be
evaluated for their comorbidities, similar to geriatric patients
sustaining low energy trauma.