Randomised controlled trial of hip protectors for the prevention of second hip fractures

Birks, Yvonne; Hildreth, Ruth; Campbell, Peter; Sharpe, C. J.; Torgerson, David; Watt, Ian

doi:10.1093/ageing/32.4.442

Cited by 55 publications

(54 citation statements)

References 4 publications

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“…Finally, we have used this approach to highlight the effectiveness of hip protectors in decreasing the risk of hip fractures in a vulnerable, often ignored population with a significant burden of disease. Process of exclusion of studies from the systematic review [26][27][28][29][30][31][32][33][34][35][36]. Table 1 Assessment of the methodologic features of included studies The unit of randomization was not clearly described in the primary publication.…”

Section: Discussionmentioning

confidence: 99%

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Sawka

Boulos

Beattie

et al. 2007

Journal of Clinical Epidemiology

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Objective-To design a Bayesian random effects model for pooling binary outcome data from cluster randomized trials (CRTs) with individually randomized trials (IRTs) and then use this model to determine if hip protectors decrease the risk of hip fracture in elderly nursing home residents.Study Design and Setting-Eight electronic databases were searched; abstracts and papers were reviewed in duplicate. Randomized controlled trials of hip protectors in nursing homes were included. The pooled mean odds ratio (OR) of a hip fracture in an individual allocated to hip protectors with 95% credibility interval (CRI) was calculated. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptResults-We included four trials of 1,922 individuals (including three CRTs). The pooled OR of an elderly nursing home resident sustaining one or more hip fractures with hip protector allocation was 0.40 (95% CRI 0.25, 0.61). The model was robust in multiple sensitivity analyses assuming alternative intracluster correlation coefficient values. Conclusion-TheBayesian approach may be used in meta-analyses of IRTs and CRTs. Using this approach, we have determined that hip protectors decrease the risk of hip fracture in elderly nursing home residents. Methodologic limitations of the included trials and a possible herd effect in CRTs may have influenced these results.

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Section: Discussionmentioning

confidence: 99%

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Sawka

Boulos

Beattie

et al. 2007

Journal of Clinical Epidemiology

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“…Hip protectors (115)(116)(117)(118)(119)(120)(121) Hip protectors are a device used to disperse the impact of a fall. The available evidence for hip protectors demonstrates that:…”

Section: What Are the Main Risk Factors For Falls Amongst Older Peoplmentioning

confidence: 99%

Analysis of Fall Injuries by Body Mass Index

Ren¹,

Waclawczyk²,

Hartfield³

et al. 2014

Southern Medical Journal

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This report is HEN's response to a question from a decision-maker. It provides a synthesis of the best available evidence, including a summary of the main findings and policy options related to the issue. Fall prevention programmes can be effective in reducing the number of people who fall and the rate of falls. Targeted strategies aimed at behavioural change and risk modification for those living in the community appear to be most promising. Multifactorial intervention programmes that include risk factor assessment and screening have been shown to be effective. However, no screening tools have been rigorously validated across countries and further work is needed in this area.HEN, initiated and coordinated by the WHO Regional Office for Europe, is an information service for public health and health care decision-makers in the WHO European Region. Other interested parties might also benefit from HEN.

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“…[32][33][34][35][36][37][38][39] In the Cochrane review, 13 the authors concluded that hip protectors were not effacacious in studies randomized by individual patient within an institution, or living independently. In contrast, data from cluster randomized studies indicated that for residents in institutional care, where hip fracture rates are high, hip protectors appeared to reduce the incidence of hip fractures.…”

Section: Commentmentioning

confidence: 99%

Efficacy of a Hip Protector to Prevent Hip Fracture in Nursing Home Residents

Kiel

Magaziner

Zimmerman³

et al. 2007

JAMA

144

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Objective To determine whether an energy-absorbing and energy-dispersing hip protector would reduce the risk of hip fracture when worn by nursing home residents.Design, Setting, and Participants Multicenter, randomized controlled clinical trial in which 37 nursing homes were randomly assigned to having residents wear a 1-sided hip protector on the left or right hip. Participants were 1042 nursing home residents (mean [SD] aged 85 [7] years; 79% women) who consented and adhered to the hip protector use during a 2-week run-in period and were enrolled. Participating facilities were in greater Boston,

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Randomised controlled trial of hip protectors for the prevention of second hip fractures

Abstract: this trial does not suggest a benefit of the studied hip protector among people living outside residential accommodation.

Cited by 55 publications

References 4 publications

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Analysis of Fall Injuries by Body Mass Index

Efficacy of a Hip Protector to Prevent Hip Fracture in Nursing Home Residents

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