Discharge destination following hip fracture in Canada among previously community-dwelling older adults, 2004–2012: database study

In community-dwelling older adults who wore hip protectors there was no difference in the risk of hip fractures or pelvic fractures, compared to those who did not wear hip protectors. Three guidelines were identified that include recommendations around the use of hip protectors in older adults. One guideline suggests that hip protectors should be considered in adults at risk for falls and hip fracture. One guideline conditionally recommends hip protectors for frail older adults in the appropriate environment. One guideline suggests that hip protectors should not be considered in older adults in community settings.

Download Full-text

Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults

Physical Therapy ◽

10.1093/ptj/85.7.648 ◽

2005 ◽

Vol 85 (7) ◽

pp. 648-655 ◽

Cited By ~ 49

Author(s):

Anne Shumway-Cook ◽

Marcia A Ciol ◽

William Gruber ◽

Cynthia Robinson

Keyword(s):

Risk Factors ◽

Older Adults ◽

Hip Fracture ◽

Functional Status ◽

Functional Independence ◽

Medical Problem ◽

Community Dwelling ◽

Self Report ◽

Risk Factors For Falls ◽

Community Dwelling Older Adults

Abstract Background and Purpose. Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. The purpose of this study was to determine the incidence of and risk factors for falls 6 months following hospital discharge for a fall-related hip fracture in older adults. Subjects. Ninety of 100 community-dwelling older adults (≥65 years of age) hospitalized for a fall-related hip fracture provided data for this study. Methods. An observational cohort study used interviews and medical records to obtain information on demographics, prefracture health, falls, and functional status. Self-report of falls and performance-based measures of balance and mobility were completed 6 months after discharge. Results. A total of 53.3% of patients (48/90) reported 1 or more falls in the 6 months after hospitalization. Older adults who fell following discharge had greater declines in independence in activities of daily living and lower performance on balance and mobility measures. Prefracture fall history and use of a gait device predicted postdischarge falls. Discussion and Conclusion. Falls following hip fracture can be predicted by premorbid functional status.

Download Full-text

A Prospective Study of Falls Following Hip Fracture in Community Dwelling Older Adults

Australasian Journal on Ageing ◽

10.1111/j.1741-6612.2001.tb00357.x ◽

2001 ◽

Vol 20 (2) ◽

pp. 73-78 ◽

Cited By ~ 7

Author(s):

Sonj E. Hall ◽

Janice A. Williams ◽

R. Arthur Criddle

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Prospective Study ◽

Community Dwelling ◽

A Prospective Study ◽

Community Dwelling Older Adults

Download Full-text

Health and social interventions to restore physical function of older adults post-hip fracture: a scoping review

BMJ Open ◽

10.1136/bmjopen-2021-053992 ◽

2021 ◽

Vol 11 (10) ◽

pp. e053992

Author(s):

Abeer Omar ◽

Alexia Cumal ◽

Shirin Vellani ◽

Alexandra Krassikova ◽

Julie Lapenskie ◽

...

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Hip Fracture ◽

Outcome Measures ◽

Scoping Review ◽

Inpatient Rehabilitation ◽

Community Dwelling ◽

Inpatient Setting ◽

Social Interventions ◽

Community Dwelling Older Adults

ObjectivesDespite inpatient rehabilitation, many older adults post-hip fracture have difficulty returning to their prefracture levels of function and activity. This scoping review aims to identify interventions for community-dwelling older adults discharged from inpatient rehabilitation and examine the function and activity outcomes associated with these interventions.DesignThis scoping review followed Arksey and O’Malley’s five-stage framework.Data sourcesWe searched MEDLINE, CINAHL, PsycINFO, EMBASE and Ageline electronic databases for English-language articles published between January 1946 and January 2020.Eligibility criteriaWe included studies with health and social interventions involving community-dwelling older adults and their caregivers after hip fracture and inpatient rehabilitation. The interventions were selected if initiated within 60 days post-hip fracture surgery.Data extraction and synthesisTwo independent reviewers screened abstracts and full texts and extracted the data based on the inclusion criteria. A third reviewer adjudicated any disagreement and collated the extracted data.ResultsOf the 24 studies included in the review, most studies (79%) used exercise-based interventions, over half (63%) included activities of daily living training and/or home assessment and environment modification as intervention components, and three studies used social intervention components. Over half of the interventions (58%) were initiated in the inpatient setting and physiotherapists provided 83% of the interventions. Only seven studies (29%) involved tailored interventions based on the older adults’ unique needs and progress in exercise training. Six studies (25%) enrolled patients with cognitive impairment, and only one study examined caregiver-related outcomes. Exercise-based interventions led to improved function and activity outcomes. 29 different outcome measures were reported.ConclusionWhile exercise-based multicomponent interventions have evidence for improving outcomes in this population, there is a paucity of studies, including social interventions. Further, studies with standardised outcome measures are needed, particularly focusing on supporting caregivers and the recovery of older adults with cognitive impairment.

Download Full-text

Predictors of Recurrent Falls in Community-Dwelling Older Adults after Fall- Related Hip Fracture

Journal of Perioperative & Critical Intensive Care Nursing ◽

10.4172/jpcic.1000e107 ◽

2016 ◽

Vol 2 (2) ◽

Author(s):

Cassandra Warner Frieson

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Community Dwelling ◽

Recurrent Falls ◽

Community Dwelling Older Adults

Download Full-text

Multiple Days of Monitoring Are Needed to Obtain a Reliable Estimate of Physical Activity in Hip-Fracture Patients

Journal of Aging and Physical Activity ◽

10.1123/japa.2012-0130 ◽

2014 ◽

Vol 22 (2) ◽

pp. 173-177 ◽

Cited By ~ 9

Author(s):

Kristin Taraldsen ◽

Beatrix Vereijken ◽

Pernille Thingstad ◽

Olav Sletvold ◽

Jorunn L. Helbostad

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Community Dwelling ◽

Reliable Estimate ◽

Large Variability ◽

Hip Fracture Surgery ◽

Community Dwelling Older Adults ◽

Mean Time ◽

Fracture Surgery ◽

Monitoring Activity

The aim of the study was to investigate the precision of estimated upright time during one week in community-dwelling older adults after hip fracture when monitoring activity for different numbers of consecutive days. Information about upright time was collected by thigh-worn accelerometers during 7 consecutive days in 31 older adults (mean age 81.8 years ± 5.3) 3 months after hip-fracture surgery. Mean time in upright position, including both standing and walking, was 260.9 (±151.2) min/day. A cutoff value of half an hour was used to provide recommendations about number of recording days. Large variability between participants between days, as well as a nonconstant within-participant variability between days indicates that at least 4 consecutive days of recording should be used to obtain a reliable estimate of upright time for individual persons. However, at a group level, one day of recording is sufficient.

Download Full-text