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Evaluation of a fall-prevention program in older people after femoral neck fracture: a one-year follow-up
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Ortopedi.
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
2008 (Engelska)Ingår i: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 19, nr 6, s. 801-809Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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. Introduction 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. Methods The randomized, controlled trial with a one-year follow-up at Umea University Hospital, Sweden, included 199 patients operated on for femoral neck fracture, aged >= 70 years. Results 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. Conclusion 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.

Ort, förlag, år, upplaga, sidor
2008. Vol. 19, nr 6, s. 801-809
Nyckelord [en]
Accidental falls, Geriatric care, Hip fracture, Intervention, Randomized control trial
Nationell ämneskategori
Geriatrik
Identifikatorer
URN: urn:nbn:se:umu:diva-97037DOI: 10.1007/s00198-007-0507-9ISI: 000257382200008PubMedID: 18030411OAI: oai:DiVA.org:umu-97037DiVA, id: diva2:770006
Tillgänglig från: 2014-12-09 Skapad: 2014-12-09 Senast uppdaterad: 2018-06-07Bibliografiskt granskad
Ingår i avhandling
1. Consequences of a hip fracture among old people
Öppna denna publikation i ny flik eller fönster >>Consequences of a hip fracture among old people
2017 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Umeå: Umeå Universitet, 2017. s. 99
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 1923
Nyckelord
Hip fracture, geriatric care, home rehabilitation, interdisciplinary rehabilitation, randomized control trial, accidental falls, complications, cause of death, walking ability, length of stay
Nationell ämneskategori
Geriatrik
Identifikatorer
urn:nbn:se:umu:diva-142128 (URN)978-91-7601-786-9 (ISBN)
Disputation
2017-12-15, Vårdvetarhusets aula, Umeå, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2017-11-24 Skapad: 2017-11-22 Senast uppdaterad: 2018-12-18Bibliografiskt granskad

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Berggren, MonicaStenvall, MichaelOlofsson, BirgittaGustafson, Yngve

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