Risk Factors for Hip Fracture in Older Home Care Clients

Stolee, Paul; Poss, Jeff; Cook, Richard J.; Byrne, Kerry; Hirdes, John P.

doi:10.1093/gerona/gln035

Cited by 64 publications

(59 citation statements)

References 36 publications

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“…Key factors associated with risk for hip fractures are the same as the major causes of falls, such as high age, female gender, institutionalization, low weight, use of assistive devices, low physical activity, muscle weakness, impaired balance, impaired vision, polypharmacy, cognitive impairment, smoking and comorbidities (Feskanich, Willett & Colditz 2002, Kauppi et al 2014, Luukinen et al 1997, Marks et al 2003, Norton et al 1999, Norton et al 2001, Pekkarinen, Löyttyniemi & Välimäki 2013, Stolee et al 2009). Risk for falls and fractures, is higher among people with multiple risk factors (Cummings et al 1995).…”

Section: Risk Factors For Hip Fracture 212mentioning

confidence: 99%

“…Although incidence rates have declined in recent years, the total number of hip fractures is expected to rise along with the increase in the number of people surviving to advanced age (Kannus et al 2006, Korhonen et al 2013. Risk factors for hip fractures include, for example, older age, female gender, use of walking aids, muscle weakness, impaired balance, polypharmacy and comorbidities (Feskanich, Willett & Colditz 2002, Kauppi et al 2014, Luukinen et al 1997, Marks et al 2003, Norton et al 1999, Norton et al 2001, Pekkarinen, Loyttyniemi & Valimaki 2013, Stolee et al 2009). …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of a Multicomponent Home-Based Physical Rehabilitation Program on Mobility Recovery After Hip Fracture: A Randomized Controlled Trial

Salpakoski

Törmäkangas

Edgren

et al. 2014

Journal of the American Medical Directors Association

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Section: Risk Factors For Hip Fracture 212mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of a Multicomponent Home-Based Physical Rehabilitation Program on Mobility Recovery After Hip Fracture: A Randomized Controlled Trial

Salpakoski

Törmäkangas

Edgren

et al. 2014

Journal of the American Medical Directors Association

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“…the main risk factors for hip fractures are osteoporosis and falls, often resulting from polypharmacy, cognitive impairment, chronic diseases and unsteady gait (3). For society, both the short-and long-term costs associated with these fractures are high and for the individual a hip fracture can be regarded as a life-changing event (4,5).…”

mentioning

confidence: 99%

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Visschedijk¹,

Caljouw²,

Balen³

et al. 2014

J Rehabil Med

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Objective: To identify factors that explain differences in patients with high and low levels of fear of falling after a hip fracture. Design: Cross-sectional study in 10 skilled nursing facilities in the Netherlands. Patients: A total of 100 patients aged ≥ 65 years admitted to a skilled nursing facility after a hip fracture. Methods: Participants were divided into 2 groups; low and high level of fear of falling, based on median Falls Efficacy Score -International. Data relating to factors that might explain fear of falling were collected, including demographic variables, aspects of functioning, psychological factors, and comorbidities. For every factor a univariate logistic regression was conducted. For the multivariate regression model a backward procedure was used in which variables with p < 0.05 were included. Results: Walking ability and activities of daily living before fracture, number of complications, activities of daily living after fracture, anxiety and self-efficacy were significantly associated univariately with fear of falling. Multivariate analysis showed that walking ability before fracture (odds ratio (OR) 0.34, 95% confidence interval (CI) 0.14-0.83), activities of daily living after fracture (OR 0.89, 95% CI 0.80-0.99), and anxiety (OR 1.22, 95% CI 1.05-1.42) were independently associated with fear of falling. Conclusion: Impaired walking ability before fracture, impaired activities of daily living after fracture, and increased anxiety help distinguish between older persons with high and low levels of fear of falling after hip fracture. Because the last 2 factors are modifiable, this information enables the development of specific interventions for older persons with a high level of fear of falling.

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“…Auf die initiale Erfassung obengenannter Parameter ist besonderes Augenmerk zu legen [47,55]. [57,61,62,67].…”

Section: Erstaufnahmeunclassified

Ablauforganisation – unfallchirurgisches und anästhesiologisches Management bei Hüftfrakturen

Müller¹,

Gerstorfer

Dovjak³

et al. 2013

Wien Med Wochenschr

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In patients with hip fractures, in order to reduce the high number of general complications and those associated with the specific treatment, the functional loss and cognitive impairment, implementation of co-ordinated, multidisciplinary treatment pathways, and rehabilitation, is mandatory. The imminent treatment of proximal femoral fracture consists of major orthopaedic surgery in most cases (total or partial hip arthroplasty, osteosynthesis). After the diagnosis of a hip fracture, an adequate pain medication should be initiated. The decision making for the fracture treatment includes fracture type, patient's age, cognitive function, mobility before the fall and functional demands of the patient in the context of patients life expectancy and goals of care. The anaesthesiological evaluation focuses on risk assessment. Medical abnormalities should be optimized within 24 to 48 h, or an increased perioperative risk due to comorbidities has to be accepted. The timing and the course of further preoperative diagnostic examinations and therapeutic interventions should be co-ordinated between the involved medical disciplines. After the operation a structured screening for delirium should be initiated and further evaluation of patient's nutrition, fall-associated medication, living conditions and osteoporosis treatment has to be performed.

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Risk Factors for Hip Fracture in Older Home Care Clients

Abstract: Important risk factors for hip fracture can be identified from routinely collected data; these could be used to identify at-risk clients for further investigation and prevention strategies.

Cited by 64 publications

References 36 publications

Effects of a Multicomponent Home-Based Physical Rehabilitation Program on Mobility Recovery After Hip Fracture: A Randomized Controlled Trial

Effects of a Multicomponent Home-Based Physical Rehabilitation Program on Mobility Recovery After Hip Fracture: A Randomized Controlled Trial

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Ablauforganisation – unfallchirurgisches und anästhesiologisches Management bei Hüftfrakturen

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