Factors associated with hip fracture-related falls among patients with a history of recurrent falling

Formiga, Francesç; Navarro, Margarita; Duaso, Enric; Chivite, David; Ruiz, Domingo; Pérez‐Castejón, Juan Manel; López‐Soto, Alfonso; Pujol, Ramón

doi:10.1016/j.bone.2008.06.014

Cited by 72 publications

(49 citation statements)

References 27 publications

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“…In our study, 14% of the falls had occurred during the nighttime. In one study, 27% of the falls in older hip fracture patients had reportedly occurred at night [3]. The difference in the prevalence of night-time falls could be explained by differences in study populations and also the definition of night-time.…”

Section: Discussionmentioning

confidence: 87%

“…Depending on the definition of night-time, the prevalence of night-time index falls in older hip fracture patients has varied between reports from 10% to 27% [1][2][3][4]. Little is known about the factors associated with falling at night in older hip fracture patients.…”

Section: Introductionmentioning

confidence: 93%

“…Most hip fractures are known to occur indoors and in daytime and only a minority at night [1][2][3][4]. Depending on the definition of night-time, the prevalence of night-time index falls in older hip fracture patients has varied between reports from 10% to 27% [1][2][3][4].…”

Section: Introductionmentioning

confidence: 98%

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Factors associated with the night-time index fall in an older hip fracture population

Nuotio

Luukkaala

2015

European Geriatric Medicine

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 93%

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Factors associated with the night-time index fall in an older hip fracture population

Nuotio

Luukkaala

2015

European Geriatric Medicine

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“…De acordo com a literatura, indivíduos idosos com história de comprometimento do estado cognitivo ou com diagnóstico de demência, são mais susceptíveis a sofrer quedas e consequentemente fraturas do quadril (21) . Além disso, os idosos com comprometimento do estado cognitivo são mais dependentes funcionalmente, para realizar as AVD e AIVD (22,23) .…”

Section: Discussionunclassified

Avaliação da qualidade de vida em pacientes idosos um ano após o tratamento cirúrgico de fraturas transtrocanterianas do fêmur

Guimarães¹,

Lima²,

Souza³

et al. 2011

Rev. bras. ortop.

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Declaramos inexistência de conflito de interesses neste artigo 1 -Mestre em Ciências pela UNICAMP 2 -Doutor em Estatística e experimentação Agronômica ESALQ/USP e professor adjunto de Departamento de Ciência Exatas da UFLA. 3 -Doutora em Fisioterapia pela UFSCAR e professora do UNILAVRAS. RESUMOObjetivo: Avaliar o impacto que as fraturas transtrocanterianas produzem sobre a qualidade de vida de pacientes idosos, tratados cirurgicamente, durante o período de um ano de acompanhamento. Material e Método: Foram selecionados 73 idosos com fratura transtrocanterina, com idade igual ou superior a 65 anos de ambos os sexos. Foi aplicado questionário padronizado, para se obter informações quanto aos hábitos de vida, atividade física, funcionalidade, deambulação e estado cognitivo. Foram excluídos os óbitos ocorridos durante o estudo, pacientes que não deambulavam, com doenças neurológicas ou fraturas patológicas. Resultados: A média de idade foi 80,17 ± 7,2, sendo 75% do sexo feminino. Ao comparar as somatórias das atividades de vida diária (p=0,04) e instrumentais da vida diária (p=0,004), obtidas na pré e pós-fratura, os pacientes tornaram-se mais dependentes pós-fratura. Atividades de vida diária que apresentaram piora pós-fratura foram: tomar banho (p=0,04), ir ao banheiro (p=0,02) e vestir-se (p=0,04). Todas as atividades instrumentais da vida diária apresentaram diferença significativa, apresentando maior dependência funcional pós-fratura, assim como aumento da necessidade de auxílio a deambulação (p=0,00002), idade avançada (p=0,01) e não realizar atividades domésticas (p=0,01). A baixa pontuação no teste Minimental estava associada com uma maior dependência para realizar as atividades da vida diária na pré-fratura (p=0,00002) e pós-fratura (p=0,01). Conclusão: Após um ano, as atividades de vida diária que dependiam dos membros inferiores pioraram significativamente, todas as atividades instrumentais de vida diária apresentaram piora significativa em mais de 50% dos pacientes e mais da metade dos pacientes que andavam sem apoio perderam esta capacidade.

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“…Although the fracture prevalence in older people according to the time of day has been previously published [19,20], there have been no studies reporting the prevalence of neck of femur (NOF) fractures as a result of a fall occurring within two hours of a meal. Therefore, the aim of this study was to determine in older hospitalized patients the prevalence of NOF fractures occurring within two hours of a meal and the factors associated with these fractures.…”

Section: Introductionmentioning

confidence: 99%

Neck of Femur Fractures within Two Hours of a Meal

Nair¹,

Piscitelli²

2014

J Gerontol Geriatr Res

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Aim: To determine in older hospitalized patients the prevalence of neck of femur (NOF) fractures occurring within two hours of a meal and the factors associated with these fractures. Methods:A prospective study was undertaken within the orthopedic unit of a 320 bed general hospital. Consecutive first admissions of patients aged 70 years and over with fragility NOF fractures between March and November 2011 were included. Patients or their careers were interviewed using a standardised questionnaire.Results: 120 patients were recruited. The median age was 84.0 years. Falls within two hours of a meal occurred in 20.8% of patients. Independent factors associated with falls occurring within two hours of a meal were symptoms of hypotension prior to a fall (OR 5.2, CI 1.342-20.129; P=0.017) and being in residential care (OR 3.0, CI 1.009-8.687; P=0.048). Conclusion:Patients who sustained a NOF fracture within two hours of a meal were more likely to be from residential care and experience symptoms associated with hypotension before the fall compared with patients who experienced a fall after two hours of a meal; identification of the reasons for hypotension and potential management strategies require further investigation.

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Factors associated with hip fracture-related falls among patients with a history of recurrent falling

Cited by 72 publications

References 27 publications

Factors associated with the night-time index fall in an older hip fracture population

Factors associated with the night-time index fall in an older hip fracture population

Avaliação da qualidade de vida em pacientes idosos um ano após o tratamento cirúrgico de fraturas transtrocanterianas do fêmur

Neck of Femur Fractures within Two Hours of a Meal

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