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Evaluation of a fall-prevention program in older people after femoral neck fracture: a one-year follow-up
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
2008 (English)In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 19, no 6, 801-809 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2008. Vol. 19, no 6, 801-809 p.
Keyword [en]
Accidental falls, Geriatric care, Hip fracture, Intervention, Randomized control trial
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:umu:diva-97037DOI: 10.1007/s00198-007-0507-9ISI: 000257382200008PubMedID: 18030411OAI: oai:DiVA.org:umu-97037DiVA: diva2:770006
Available from: 2014-12-09 Created: 2014-12-09 Last updated: 2017-11-23Bibliographically approved
In thesis
1. Consequences of a hip fracture among old people
Open this publication in new window or tab >>Consequences of a hip fracture among old people
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2017. 99 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1923
Keyword
Hip fracture, geriatric care, home rehabilitation, interdisciplinary rehabilitation, randomized control trial, accidental falls, complications, cause of death, walking ability, length of stay
National Category
Geriatrics
Identifiers
urn:nbn:se:umu:diva-142128 (URN)978-91-7601-786-9 (ISBN)
Public defence
2017-12-15, Vårdvetarhusets aula, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-11-24 Created: 2017-11-22 Last updated: 2017-11-24Bibliographically approved

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