<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2448</journal-id>
<journal-title><![CDATA[Acta Medica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Med Colomb]]></abbrev-journal-title>
<issn>0120-2448</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-24482020000300016</article-id>
<article-id pub-id-type="doi">10.36104/amc.2020.1319</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Clinical and epidemiological characteristics of patients with fragility fractures: Are we doing things right?]]></article-title>
<article-title xml:lang="es"><![CDATA[Caracterización clínico-epidemiológica de pacientes con fracturas por fragilidad ¿Estamos haciendo las cosas bien?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo-González]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[José William]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez-Mejía]]></surname>
<given-names><![CDATA[Juan Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Cuéllar]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Restrepo-López]]></surname>
<given-names><![CDATA[Juan Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arango-Duque]]></surname>
<given-names><![CDATA[Johan Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario San Jorge de Pereira  ]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Programa de Medicina Programa de Medicina Facultad Ciencias de la Salud]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Tecnológica de Pereira Programa de Medicina Facultad Ciencias de la Salud]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>16</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-24482020000300016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-24482020000300016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-24482020000300016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Osteoporosis is a disease which increases as our population ages. It is associated with a greater risk of fragility fractures, leading to a loss of independence, chronic pain and even death. In order to avoid these complications, it is important to describe the population diagnosed with fragility fractures and determine if patients at risk for or diagnosed with osteoporosis are being screened and managed appropriately.  Materials and methods: A prospective study of patients hospitalized due to fragility fractures in a tertiary care hospital from March-September 2018. The patients were described according to clinical and sociodemographic variables, and screening criteria from various guidelines were applied to determine if patients with fragility fractures are being adequately screened and managed.  Results: Seventy patients with fragility fractures were identified, with an average age of 80.01 ± 10.73 years. Of these, 81.43% had been seen by a general practitioner, but only 50% had been educated on fall prevention. In addition, 97.14%, 95.71% and 90.0% of these patients met the osteoporosis screening criteria according to the NOF, ISCD and OSC guidelines, respectively, and only 11.43% had been screened.  Conclusion: Fragility fractures are common in our setting. However, turnaround times for care and intervention are long and both primary and secondary prevention efforts are currently insufficient.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1319).]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la osteoporosis es una enfermedad que se incrementa conforme nuestra población envejece; ésta se asocia a mayor riesgo de fracturas por fragilidad, conllevando a pérdida de la independencia, dolor crónico e incluso la muerte. Con el fin de evitar dichas complicaciones, es importante caracterizar la población con diagnóstico de fractura por fragilidad e identificar si se está realizando un adecuado tamizaje y abordaje del paciente con riesgo o diagnóstico de osteoporosis.  Material y métodos: estudio prospectivo realizado en pacientes ingresados con fractura por fragilidad en un hospital de alta complejidad, en el periodo entre marzo-septiembre del 2018. Se realizó una caracterización según variables clínico-sociodemográficas y se aplicó criterios de tamización según diferentes guías con el fin de determinar si se está realizando un adecuado tamizaje y abordaje del paciente con fractura por fragilidad.  Resultados: se identificaron 70 pacientes con fracturas por fragilidad, la edad promedio fue de 80.01 ± 10.73 años. Se encontró que 81.43% de los pacientes había sido evaluado por médico general, pero tan sólo 50% había sido educado sobre prevención de caídas. Además, el 97.14%, 95.71% y 90.0% de los pacientes cumplían criterios de tamización para osteoporosis según las guías NOF, ISCD y OSC respectivamente y sólo 11.43% habían sido tamizados.  Conclusión: las fracturas por fragilidad son frecuentes en nuestro medio; sin embargo, los tiempos de atención e intervención son lentos y los esfuerzos en prevención tanto primaria como secundaria están siendo insuficientes.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1319).]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[density]]></kwd>
<kwd lng="en"><![CDATA[Densitometry]]></kwd>
<kwd lng="en"><![CDATA[Osteoporotic fractures]]></kwd>
<kwd lng="en"><![CDATA[Osteoporosis]]></kwd>
<kwd lng="en"><![CDATA[Primary Prevention]]></kwd>
<kwd lng="en"><![CDATA[Secondary Prevention]]></kwd>
<kwd lng="es"><![CDATA[ósea]]></kwd>
<kwd lng="es"><![CDATA[densitometría]]></kwd>
<kwd lng="es"><![CDATA[fracturas osteoporóticas]]></kwd>
<kwd lng="es"><![CDATA[osteoporosis]]></kwd>
<kwd lng="es"><![CDATA[prevención primaria]]></kwd>
<kwd lng="es"><![CDATA[prevención secundaria]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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