Cited by 238Hip and Femur FracturesBalance, Gait, and Falls PreventionFrailty in Older Adults

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A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture

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Stenvall, M., Olofsson, B., Lundström, M., Englund, U., Borssén, B., Svensson, O., Nyberg, L., Gustafson, Y.·2007·Osteoporosis International

DOI 10.1007/s00198-006-0226-7PMC PMC1766476

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Abstract

INTRODUCTION: This study evaluates whether a postoperative multidisciplinary, intervention program, including systematic assessment and treatment of fall risk factors, active prevention, detection, and treatment of postoperative complications, could reduce inpatient falls and fall-related injuries after a femoral neck fracture. METHODS: A randomized, controlled trial at the orthopedic and geriatric departments at Umeå University Hospital, Sweden, included 199 patients with femoral neck fracture, aged >or=70 years. RESULTS: Twelve patients fell 18 times in the intervention group compared with 26 patients suffering 60 falls in the control group. Only one patient with dementia fell in the intervention group compared with 11 in the control group. The crude postoperative fall incidence rate was 6.29/1,000 days in the intervention group vs 16.28/1,000 days in the control group. The incidence rate ratio was 0.38 [95% confidence interval (CI): 0.20 - 0.76, p=0.006] for the total sample and 0.07 (95% CI: 0.01-0.57, p=0.013) among patients with dementia. There were no new fractures in the intervention group but four in the control group. CONCLUSION: A team applying comprehensive geriatric assessment and rehabilitation, including prevention, detection, and treatment of fall risk factors, can successfully prevent inpatient falls and injuries, even in patients with dementia.

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Authors: Stenvall, M., Olofsson, B., Lundström, M., Englund, U., Borssén, B., Svensson, O., Nyberg, L., & Gustafson, Y.
Affiliations: Umeå University (SE)
Luleå University of Technology (SE)
Corresponding author: Stenvall, M.
ORCID: Stenvall, M.
Olofsson, B.
Lundström, M.
Svensson, O.
Nyberg, L.
Gustafson, Y.
Venue: Osteoporosis International
Publisher: Springer Science and Business Media LLC
Published: 2006-10-24
Volume: 18
Issue: 2
Pages: 167-175
ISSN: 0937-941X (ISSN-L)
1433-2965
DOI: 10.1007/s00198-006-0226-7
PMC: PMC1766476
OpenAlex: W2034648301
Cited by: 238
References: 46
Citations by year: 2026: 6 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 9 · 2021: 13 · 2020: 11 · 2019: 9 · 2018: 13 · 2017: 13 · 2016: 16 · 2015: 16 · 2014: 12 · 2013: 20 · 2012: 17
FWCI: 9.86
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (tdm)
creativecommons.org/licenses/by-nc/4.0/ (vor)
Locations: Osteoporosis International (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Vårdalstiftelsen
Kempe Foundation
Vetenskapsrådet
Topics: Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords: femoral neck fracture, postoperative falls, fall prevention, fall risk factors, dementia, comprehensive geriatric assessment, multidisciplinary intervention, postoperative complications, hip fracture rehabilitation
MeSH terms: Accidental Falls, Aged, Aged, 80 and over, Delirium, Dementia, Female, Femoral Neck Fractures, Humans, Male, Patient Care Team, Postoperative Care, Postoperative Complications, Risk Factors, Program Evaluation, Kaplan-Meier Estimate

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A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture

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