Hip protectors for preventing hip fractures in older people

Gillespie, W. J.; Gillespie, Lesley D; Parker, Martyn J.

doi:10.1002/14651858.cd001255.pub4

Cited by 105 publications

(65 citation statements)

References 83 publications

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“…There is not sufficient evidence to recommend hip protectors in community-living people. (15) In persons with a high basis risk such as people with the need for care, however, hip protectors may be a useful measure at least during the first months after discharge from the hospital. In summary, we found that the first weeks after discharge from hospital were associated with an increased risk for femoral fractures.…”

Section: Implications For Practicementioning

confidence: 99%

Femoral fracture rates after discharge from the hospital to the community

Rapp

Cameron

Becker

et al. 2012

Journal of Bone and Mineral Research

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Previous studies found that the risk of a femoral fracture in residents newly admitted to nursing homes was highest during the first months after admission and declined thereafter. Many nursing home admissions are preceded by a hospitalization. Therefore, the present study aimed to analyze if a similar risk pattern of fall-related fractures could also be observed in community-dwelling people at home after discharge from the hospital. Routine data of more than 690,000 German people aged 65 years and older with more than 2 million hospital discharges were used to calculate fracture rates in the first 6 months after hospitalization, for people discharged to live in the community. Incidence rates of femoral fractures as a function of time since discharge from hospital were analyzed. Analyses were stratified by sex, age, the need for care, and diagnostic groups. For femoral fractures the incidence was highest during the first months after discharge and declined thereafter. This pattern was observed in women and men, in different age-groups, in different diagnostic groups, and in people with and without the need for care. For example, rates for femoral fractures in women declined from 17.4 to 11.0 per 1000 person years over the first 6 months after admission, and in men over the same time period from 8.2 to 4.5 per 1000 personyears, respectively. We conclude that the first weeks at home after discharge from the hospital are associated with an increased risk for femoral fractures. ß

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Section: Implications For Practicementioning

confidence: 99%

Femoral fracture rates after discharge from the hospital to the community

Rapp

Cameron

Becker

et al. 2012

Journal of Bone and Mineral Research

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“…However Analyzing available data, the authors concluded that the effectiveness of the provision of hip protectors in reducing the incidence of hip fracture in older people is still not clearly established, although they may reduce the rate of hip fractures if made available to frail older people in nursing care (19).…”

Section: Hip Protectorsmentioning

confidence: 99%

The efficacy of modern spinal orthoses and hip protectors used in the management of osteoporosis: a review

Colobățiu¹,

Mirel²

2016

Balneo

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Globally, osteoporosis is considered a widespread metabolic bone disease, vertebral fractures being probably one of the most common clinical manifestations encountered in osteoporotic patients. Non-pharmacologic therapies of osteoporosis include, among others, the use of different types of orthoses, such as spinal orthoses or hip protectors. To date there is a limited number of studies that evaluate the efficacy of spinal orthoses and hip protectors used in osteoporotic patients, therefore providing insufficient information to clinicians regarding these aspects. This article reviewed the use and efficacy of the most commonly prescribed spinal orthoses and hip protectors in osteoporotic patients. According to a significant number of studies, modern spinal orthoses proved to be effective in the management of vertebral fractures in osteoporotic patients. However, the efficacy of hip protectors in reducing the impact of falls onto the hip and preventing hip fractures still seems to be controversial. Osteoporosis is a condition that should be treated using a comprehensive approach that includes both pharmacological and non-pharmacological treatment options. Orthoses, such as modern spinal orthoses or back braces and hip protectors might represent an efficacious nonpharmacological option in the management of osteoporotic vertebral or hip fractures.

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“…38 Most hip protector designs consist of two mechanically proven hard plastic cups or soft pads placed or sewn to each side of a panty. Compliance with their use has been a problem in most studies though, and rates varying from 31% to 68% have been reported, reducing in particular over time.…”

Section: Fracture Reductionmentioning

confidence: 99%