Evaluation of a fall-prevention program in older people after femoral neck fracture: a one-year follow-up
| Autor: | Monica Berggren, Birgitta Olofsson, Yngve Gustafson, Michael Stenvall |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Poison control law.invention Randomized controlled trial law Injury prevention Secondary Prevention medicine Humans Geriatric Assessment Aged Femoral neck Aged 80 and over Patient Care Team Geriatrics Inpatients Hip fracture business.industry medicine.disease Patient Discharge Femoral Neck Fractures medicine.anatomical_structure Accidents Home Orthopedic surgery Physical therapy Accidental Falls Female business Follow-Up Studies Program Evaluation Fall prevention |
| Zdroj: | Osteoporosis International. 19:801-809 |
| ISSN: | 1433-2965 0937-941X |
| DOI: | 10.1007/s00198-007-0507-9 |
| Popis: | A randomized, controlled fall-prevention study including 199 patients operated on for femoral neck fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone old people.This study evaluates whether a postoperative multidisciplinary, multifactorial fall-prevention program performed by a geriatric team that reduced inpatient falls and injuries had any continuing effect after discharge. The intervention consisted of staff education, systematic assessment and treatment of fall risk factors and vitamin D and calcium supplementation.The randomized, controlled trial with a one-year follow-up at Umeå University Hospital, Sweden, included 199 patients operated on for femoral neck fracture, agedor = 70 years.After one year 44 participants had fallen 138 times in the intervention group compared with 55 participants and 191 falls in the control group. The crude postoperative fall incidence was 4.16/1,000 days in the intervention group vs. 6.43/1,000 days in the control group. The incidence rate ratio was 0.64 (95% CI: 0.40-1.02, p = 0.063). Seven new fractures occurred in the intervention group and 11 in the control group.A team applying comprehensive geriatric assessment and rehabilitation, including prevention and treatment of fall-risk factors, reduced inpatient falls and injuries, but no statistically significant effects of the program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone elderly. |
| Databáze: | OpenAIRE |
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