Secondary prevention of minor trauma fractures: the effects of a tailored intervention—an observational study

Vet, Puck C. R. van der; Kusen, Jip Q.; Rohner-Spengler, Manuela; Link, Björn‐Christian; Houwert, Roderick M.; Babst, Reto; Henzen, Christoph; Schmid, L.; Beeres, Frank J. P.

doi:10.1007/s11657-019-0595-0

Cited by 8 publications

(8 citation statements)

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“…As mentioned, this study was part of a larger research project. Flow of participants and baseline characteristics have been described in the previously mentioned associated study [19]. Response rate of this study was 50% (411 of 823 patients).…”

Section: Flow Of Participants and Baseline Characteristicsmentioning

confidence: 95%

“…Patients who were treated for LEF between May 2012 and December 2015 and who met all inclusion criteria were eligible for inclusion. Inclusion criteria can be found in the previously published study [19]. One year after LEF, all eligible patients were sent a study invitation.…”

Section: Participants Centermentioning

confidence: 99%

“…All patients who returned the completed study documents and therefore were willing to participate in the study were included. This study was the second part of a research project on a secondary prevention program for patients with LEF called 'Osteofit' [19]. The first study on this project focused on screening and prevention of osteoporosis.…”

Section: Participants Centermentioning

confidence: 99%

“…The FES-I has scores rating from 16 (lowest) to 64 (highest). In addition, the FES-I score was subcategorized into three categories, based on previous literature: 'Low' (FES-I score of [16][17][18][19], 'medium' (FES-I score of 20-27), and 'high' (FES-I score of . (8,16).…”

Section: Data Collectionmentioning

confidence: 99%

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Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

et al. 2021

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Background and objective: Falls in elderly cause injury, mortality, and loss of independence, making Fear of Falling (FoF) a common health problem. FoF relates to activity restriction and increased fall risk. A voluntary intervention including fall risk assessment and prevention strategies was implemented to reduce falls in elderly patients with low energy fractures (LEF). The primary purpose of this study was to evaluate FoF and the number of subsequent falls in trauma patients one year after a LEF. The secondary aim was to examine how FoF affects patients’ lives in terms of Quality of Life (QoL), mobility, and activity levels. Finally, participation in the voluntary fall prevention program (FPP) was evaluated. Materials and Methods: Observational cohort study in one Swiss trauma center. LEF patients, treated between 2012 and 2015, were analyzed one year after injury. Primary outcomes were Falls-Efficacy Score-International (FES-I) and number of subsequent falls. Secondary outcomes were EuroQoL-5-Dimensions-3-Levels (EQ5D-3L), mobility, activity levels, and participation in the FPP. Subgroup analysis was performed for different age categories. Results: 411 patients were included for analysis. Mean age was 72 ± 9.3, mean FES-I was 21.1 ± 7.7. Forty percent experienced FoF. A significant negative correlation between FoF and QoL (R = 0.64; p < 0.001) was found. High FoF correlated with lower activity levels (R= −0.288; p < 0.001). Six percent visited the FPP. Conclusions: At follow-up, 40% suffered from FoF which seems to negatively affect patients’ QoL. Nevertheless, participation in the FPP was low. Simply informing patients about their susceptibility to falls and recommending participation in FPPs seems insufficient to motivate and recruit patients into FPPs. We suggest implementing repeated fall risk- and FoF screenings as standard procedures in the follow-up of LEF, especially in patients aged over 75 years.

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Section: Flow Of Participants and Baseline Characteristicsmentioning

confidence: 95%

Section: Participants Centermentioning

confidence: 99%

Section: Participants Centermentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

et al. 2021

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“…Risk stratification for osteoporosis and fractures coupled with preventive measures and health education reduce the incidence rates of osteoporotic fractures (van der Vet et al, 2019;Silva et al, 2019). Therefore, this study aims to assess the prevalence of risk factors for fragility fractures in elderly residents in the municipality of Mineiros -GO.…”

Section: Introductionmentioning

confidence: 99%

Prevalência de fatores de risco para fraturas por fragilidade óssea entre idosos residentes no município de Mineiros – Goiás

Júnior¹,

Neto²

2022

RSD

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O processo de envelhecimento e o aumento da expectativa de vida apontam para a melhora na qualidade de vida devido a seus eventos incapacitantes. As fraturas por fragilidade óssea e suas consequências físicas e psíquicas podem ser evitadas através do reconhecimento dos fatores de risco. O objetivo desse estudo foi avaliar os fatores de risco para fraturas por fragilidade em idosos no município de Mineiros/GO. Foi realizado um estudo analítico-descritivo, com delineamento transversal, sendo inclusos 100 idosos atendidos em unidades de saúdecde Mineiros/GO. Foi realizado um questionário sobre incidência e fatores de risco para fraturas por fragilidade óssea, determinando a prevalência e o risco de fraturas pela escala FRAX-Brasil, os possíveis desfechos e a associação dos fatores de risco para fraturas por fragilidade óssea. Assim, identificou-se a prevalência dos fatores de risco para fraturas por fragilidade, sendo que sua maioria foram do sexo feminino, cor branca, idade média 70,54 anos (desvio padrão 8,48) e 80% dos pesquisados nunca realizaram densitometria óssea, e desses, a maioria apresentaram fatores de risco para fratura maior e de quadril entre moderado e alto. Concluímos que existe a necessidade de prevenção da osteoporose, diagnóstico precoce e tratamento eficaz, reduzindo os índices dessas fraturas. A identificação dos fatores de risco mais prevalentes facilita a implementação de medidas preventivas e socioeducativas a curto e a longo prazo pelo serviço de saúde. Além disso, espera-se contribuir para construção de uma rede de cuidado ao paciente idoso vulnerável a quedas e fraturas por fragilidade.

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Caring for the Geriatrics Trauma Patient: The Challenges and the Opportunities

Smiley

Latifi

2020

Surgical Decision Making in Geriatrics

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Secondary prevention of minor trauma fractures: the effects of a tailored intervention—an observational study

Cited by 8 publications

References 20 publications

Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

Prevalência de fatores de risco para fraturas por fragilidade óssea entre idosos residentes no município de Mineiros – Goiás

Caring for the Geriatrics Trauma Patient: The Challenges and the Opportunities

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