A follow-up study on fall and fracture incidence in long-term care including the role of formal caregiver time on fall incidence rates

Becker, Clemens; Loy, Sabine; Nikolaus, Thorsten; Rißmann, Ulrich; Rapp, Kilian; Lindemann, B.; Kron, Martina

doi:10.1007/s00391-006-0399-x

Cited by 13 publications

(12 citation statements)

References 20 publications

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“…2008). Despite the growing number of clinical studies on the efficacy of fall prevention programmes (Becker et al. 2006, Kato et al.…”

Section: Introductionmentioning

confidence: 99%

“…A large majority of participants of fall prevention programme reported that they had benefited from the programme . Despite the growing number of clinical studies on the efficacy of fall prevention programmes (Becker et al 2006, Kato et al 2008, Kerse et al 2008, success of these interventions depends mainly on older peoples' acceptance of and compliance with the health professionals' recommendations (Whitehead et al 2006, Banez et al 2008, Horne et al 2009).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

Wong¹,

Woo²,

Cheung³

et al. 2010

Journal of Advanced Nursing

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Older people with the selected characteristics were less likely to attend the fall prevention programme, thus were less likely to benefit from them. Support from family/carers may be an important element in participation. In a nursing context, in primary care practice, all of these factors should be taken into account in any future development of a fall prevention programme in Hong Kong of this nature.

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“…2008). Despite the growing number of clinical studies on the efficacy of fall prevention programmes (Becker et al. 2006, Kato et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

Wong¹,

Woo²,

Cheung³

et al. 2010

Journal of Advanced Nursing

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“…There are many potential strategies to reduce fracture risk in NH patients. Several studies have focused on fall prevention in the NH setting, 7 and the role of enhanced bone mineral density (BMD) has also been acknowledged 4 . There are several drugs with treatment benefits for BMD and fractures for community‐dwelling adults 8 .…”

mentioning

confidence: 99%

Pharmacological Management of Osteoporosis in Nursing Home Populations: A Systematic Review

Parikh

Avorn

Solomon

2009

J American Geriatrics Society

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Nursing home (NH) residents fall 11 times as frequently as their age-matched community-dwelling counterparts. The benefits of fall prevention strategies and hip protectors in terms of fracture risk in this setting are unclear. Moreover, there is no consensus on the efficacy of osteoporosis medication in NH residents. A systematic review was conducted to evaluate the efficacy of medications for osteoporosis in this population and to examine utilization studies in the NH setting to define prescribing practices. Electronic searches of MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were supplemented with a hand search of bibliographies. All English-language studies published between January 1, 1974, and December 31, 2006, that studied osteoporosis pharmacotherapy in the NH environment were obtained, and studies of medication benefits and utilization patterns were identified. No restrictions were placed on study method. Studies required inclusion of NH patients and extractable data with bone mineral density (BMD) or fracture outcomes. Forty full-text articles were retrieved, of which 15 studies met selection criteria. In the nine studies examining medication effects, calcium (1,200 mg) and vitamin D (800 IU) supplementation were shown to reduce fracture risk and improve BMD. One study supported the role of alendronate, but none documented the utility of raloxifene, calcitonin, or teriparatide in NH residents. All six medication utilization studies reported infrequent use of osteoporosis medications (9-25%). Prescribing for elderly NH patients is difficult, considering the risk:benefit ratio and issues of longevity, but these medications may be underused in the NH environment.

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“…None of the studies using ergocalciferol with or without calcium demonstrated significant fracture reduction. Fracture rates varied between residential studies, which may reflect the country the study took place in, varying diet, comorbidity within study populations, falls prevention strategies [41], or other factors that may alter the background rate of fracture in residential settings, thus potentially reducing the ability of studies to detect a true benefit of vitamin D treatment. …”

Section: Discussionmentioning

confidence: 99%

Evidence for the Treatment of Osteoporosis with Vitamin D in Residential Care and in the Community Dwelling Elderly

Geddes

Inderjeeth

2013

BioMed Research International

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Introduction. Vitamin D is common treatment for osteoporosis. Both age >70 years and living in residential care are associated with increased fracture risk. Community dwelling elderly are a heterogeneous group who may have more similatiry with residential care groups than younger community dwelling counterparts. Aims. To review the evidence for cholecalciferol or ergocalciferol tretment of osteoporosis in either community dwelling patients aged ≥70 years of age, or redidential care patients. Secondly endpoints were changes in bone mineral denisty, and in bone turnover markers. Methods. We performed a literature search using search terms for osteoporosis and vitamin D. Treatment for at least one year was required. Results. Only one residential care study using cholecalciferol, showed non-vertebral and hip fracture reduction in vitamin D deficient subjects. In the community setting one quasi randomised study using ergocalciferol showed reduction in total but not hip or non-vertebral fracture, and a second randomised study showed increased hip fracture risk. Three studies reported increases in hip bone mineral denisty. Discussion. A minority of studies demonstrated a fracture benefit form vitamin D and one suggested possible harm in a community setting. Current practice should be to only offer this treatment to subjects identified as deficient.

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A follow-up study on fall and fracture incidence in long-term care including the role of formal caregiver time on fall incidence rates

Abstract: During the period, we observed a marked decline of the fracture rate compared with the controlled phase of the intervention trial. A lower number of nursing care hours on weekends was not associated with a higher incidence density rate for falls, fallers, or any type of fracture.

Cited by 13 publications

References 20 publications

Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

Pharmacological Management of Osteoporosis in Nursing Home Populations: A Systematic Review

Evidence for the Treatment of Osteoporosis with Vitamin D in Residential Care and in the Community Dwelling Elderly

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