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A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture
Open accessAbstract
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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“A range of positive effects are reported after six to twelve months, e.g.reduced length of hospital stay (55,56), improved independence in activities of daily living (56,192,193), improved mobility (56), reduced in-hospital falls and fall-related injuries (57), decreased emergency department visits (192) significantly fewer days of delirium (55), fewer pressure ulcers (55), reduced nursing home ad”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [56]
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Metadata
- 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.
- Venue
- Osteoporosis International
- Published
- 2006-10-24
- Volume
- 18
- Issue
- 2
- Pages
- 167-175
- ISSN
- 0937-941X (ISSN-L)
- 1433-2965
- 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
- 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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