scholarly journals Hip Protectors and their Role in Hip Fracture Prevention: A Review

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Paul David Cowling
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
English Language ◽  
Elderly Population ◽  
Fracture Prevention ◽  
Future Research ◽  
Hip Protector ◽  
Hip Protectors ◽  
National Healthcare ◽  
Randomised Controlled

Hip fractures cause severe worldwide morbidity and loss of independence, costing national healthcare systems millions of pounds each year. The incidence is increasing with the expanding elderly population common of many Western countries. Hip protectors have been progressively studied in recent years focussing upon their use in hip fracture prevention, and compliance levels. This review aims to determine the effectiveness of protectors, and also investigates compliance levels. A search for English language Randomised Controlled Trials (RCTs) testing effectiveness of hip protectors was performed on Medline and Embase. Nine articles fulfilling the search criteria were found. Each was reviewed for hip protector effectiveness and compliance rates within the study, with results and conclusions critically-appraised. Of the nine articles, six (66.6%) found hip protectors to be effective in preventing hip fractures in selective populations. However, poor compliance rates were found in all reviewed trials. Future research should therefore focus upon improving compliance rates in the studied population.

scholarly journals Physical Activity and Hip Fracture Disability: A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-18 ◽  
Author(s):  
Ray Marks
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Hip Fracture ◽  
Hip Fractures ◽  
English Language ◽  
Public Health Problem ◽  
Fracture Prevention ◽  
Activity Levels ◽  
The Many ◽  
Key Terms

Objective. The present paper examines pertinent literature sources published in the peer-reviewed English language between 1980 and November 1, 2010 concerning hip fractures. The aim was to highlight potential intervention points to offset the risk of incurring a hip fracture and its attendant disability.Methods. An in-depth search of the literature using the key terms: disability, epidemiology, hip fracture, prevention, and risk factors was conducted, along with data from the author's research base detailing the disability associated with selected hip fracture cases. All articles that dealt with these key topics were reviewed, and relevant data were tabulated and analyzed.Results. Hip fractures remain an important but potentially preventable public health problem. Among the many related remediable risk factors, low physical activity levels are especially important. Related determinants of suboptimal neuromuscular function also contribute significantly to hip fracture disability.Conclusion. Physical activity participation can help to reduce the prevalence and excess disability of hip fractures and should be encouraged.

scholarly journals Biomechanical Evaluations of Hip Fracture Prevention by Hip Protector

2004 ◽  
Vol 70 (697) ◽  
pp. 1193-1200 ◽  
Author(s):  
Eiichi TANAKA ◽  
Sota YAMAMOTO ◽  
Shigenobu OZEKI ◽  
Koji MIZUNO ◽  
Atsushi HARADA ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Fracture Prevention ◽  
Hip Protector

scholarly journals Hip Protectors for Community-Dwelling Older Adults

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Keeley Farrell ◽  
Melissa Walter
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Pelvic Fractures ◽  
Community Dwelling ◽  
Community Settings ◽  
Hip Protectors ◽  
Frail Older Adults ◽  
Community Dwelling Older Adults

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.

scholarly journals Sleep Disturbances and Hip Fractures

2020 ◽  
Vol 3 (2) ◽  
pp. 14-22
Author(s):  
Ray Marks
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Sleep Disturbances ◽  
Web Of Science ◽  
The Elderly ◽  
Intervention Programs ◽  
Future Research ◽  
Narrative Form ◽  
Economic Costs ◽  
Indirect Impact

Hip fractures, which remain highly prevalent among the elderly and produce enormous social and economic costs, have not truly abated in prevalence despite years of research that outlines a multitude of preventable risk factors and intervention programs. This review aimed to examine if sleep disturbances have a bearing on the risk of incurring a hip fracture directly or indirectly, among older adults. The specific aim was to explore and summarize what we know, and how this might inform future research and practice. To this end, PUBMED, Web of Science, Scopus, and Google Scholar data bases were searched to uncover available data representing the topic of sleep in relation to hip fractures among the elderly. Articles of note were scrutinized and summarized in narrative form. Results showed very few studies on the topic prevail, even with no restriction on years examined, and of these, discordant, rather than any solid uniform conclusions prevail. It is concluded there is a need to explore this topic carefully, including both the direct, as well as the indirect impact of sleep that may place an older adult at heightened risk for a fall and hip fracture injury as well as subsequent fractures.

scholarly journals Determining the cost-effectiveness requirements of an exoskeleton preventing second hip fractures using value of information

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefania Manetti ◽  
Giuseppe Turchetti ◽  
Francesco Fusco
Keyword(s):  
Quality Of Life ◽  
Cost Effectiveness ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Cost Effective ◽  
Future Research ◽  
Base Case ◽  
Secondary Analyses ◽  
The Cost

Abstract Background Falls may lead to hip fractures, which have a detrimental effect on the prognosis of patients as well as a considerable impact on healthcare expenditures. Since a secondary hip fracture (SHF) may lead to even higher costs than primary fractures, the development of innovative services is crucial to limit falls and curb costs in high-risk patients. An early economic evaluation assessed which patients with a second hip fracture could benefit most from an exoskeleton preventing falls and whether its development is feasible. Methods The life-course of hip fractured patients presenting with dementia or cardiovascular diseases was simulated using a Markov model relying on the United Kingdom administrative data and complemented by published literature. A group of experts provided the exoskeleton parameters. Secondary analyses included a threshold analysis to identify the exoskeleton requirements (e.g. minimum impact of the exoskeleton on patients’ quality of life) leading to a reimbursable incremental cost-effectiveness ratio. Similarly, the uncertainty around these requirements was modelled by varying their standard errors and represented alongside population Expected Value of Perfect Information (EVPI). Results Our base-case found the exoskeleton cost-effective when providing a statistically significant reduction in SHF risk. The secondary analyses identified 286 cost-effective combinations of the exoskeleton requirements. The uncertainty around these requirements was explored producing further 22,880 scenarios, which showed that this significant reduction in SHF risk was not necessary to support the exoskeleton adoption in clinical practice. Conversely, a significant improvement in women quality of life was crucial to obtain an acceptable population EVPI regardless of the cost of the exoskeleton. Conclusions Our study identified the exoskeleton requisites to be cost-effective and the value of future research. Decision-makers could use our analyses to assess not only whether the exoskeleton could be cost-effective but also how much further research and development of the exoskeleton is worth to be pursued.

scholarly journals Wearing Characteristic Evaluation of Hip Protector for Hip Fracture Prevention

2014 ◽  
Vol 16 (6) ◽  
pp. 1001-1007 ◽  
Author(s):  
Eun-Jin Jeon ◽  
Sei-Kwon Park ◽  
Hee-Cheon You ◽  
Hee-Eun Kim
Keyword(s):  
Hip Fracture ◽  
Fracture Prevention ◽  
Hip Protector

scholarly journals Community-based Study on Hip Fracture in a Rural Area in Northeast Indiana

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Brandon Kimes ◽  
Thein Zhu
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Trauma Center ◽  
Fracture Prevention ◽  
Incidence Rates ◽  
Emergency Department Visits ◽  
Similar Distribution ◽  
Injury Patterns ◽  
Clinical Databases ◽  
Injury Burden

Background/Objective: There are few studies in the literature focused on rural hip fracture epidemiology, and fewer still that consider hip fractures at a specific county level or trauma center (TC) region. The aim of this study is to elucidate patterns of injury events and injury burden of hip fractures in a rural trauma center in northeast Indiana.    Patients and Measurements: We ascertained 2019 hip fracture cases that consisted of three sets of data, namely, emergency department visits (ED), hospitalizations (IP), and deaths from clinical databases. We analyzed the cases by fracture type, measured incidence rates (IRs) per 1,000 county residents and described the injury pattern of hip fractures by variables such as county of residence, age, and sex. We considered the mechanism of injury (cause) of the fractures as well as the injury burden based on the above three sets.    Results: A ratio of roughly 2:1 was found for extracapsular to intracapsular hip fractures. Injury patterns showed that the study counties had similar incidence rates with a range of 0.96 to 1.41 per 1,000 residents. Males and females ages 0-69 years had similar incidences of hip fracture. Overall, females had a 41% higher incidence rate of hip fractures than males. Injury burden indicated a similar distribution of ED to IP to mortality cases across the five study counties, and the majority (98.4%) of hip fractures with known causes of injury were due to falls.    Conclusions and Potential Impact: We elucidated the injury patterns and burden of hip fractures in a verified level II trauma center region. The results of this study have the potential benefit for the future development of hip fracture prevention programs for rural, elderly populations in northeast Indiana.  

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