Hip protectors and hip fractures

Jäntti, Pirkko; Aho, Heikki; Mäki-Jokela, Päivi; Heikinheimo, R

doi:10.1093/ageing/27.6.758

Cited by 31 publications

(27 citation statements)

References 5 publications

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“…1). Of the four trials included in this systematic review, one was considered individually randomizedJantti et al, 1998 [37] [40]. In the case of the Harada et al trial, information on cluster randomization was obtained from the author, as details of randomization were not explicitly reported in the primary paper.…”

Section: Studies Included In the Systematic Reviewmentioning

confidence: 99%

“…In the four trials included in the review, a total of 1,037 participants were allocated to the treatment arms and 885 participants allocated to the control arms [37][38][39][40]. There was no gender restriction in the trials, with the exception of the Harada et al trial [39], which included only women.…”

Section: Characteristics Of the Included Trialsmentioning

confidence: 99%

“…The Safe-hip protector (Tytex) brand of hip protector was used in the Harada et al [12,39], and Meyer et al [40] trials (Table 2); three protectors were provided per participant. The JOFA AB hip protector was used in the Ekman et al trial [38] whereas a hip protector designed by the primary authors was used in the Jantti et al trial [37], with the number of hip protectors provided per participant being unclear in each of these studies. Educational cointerventions or measures to encourage adherence (such as employment of staff to educate participants or caregivers or encourage adherence) were used in the Meyer et al [40] trial.…”

Section: Characteristics Of the Included Trialsmentioning

confidence: 99%

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Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Sawka

Boulos

Beattie

et al. 2007

Journal of Clinical Epidemiology

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Objective-To design a Bayesian random effects model for pooling binary outcome data from cluster randomized trials (CRTs) with individually randomized trials (IRTs) and then use this model to determine if hip protectors decrease the risk of hip fracture in elderly nursing home residents.Study Design and Setting-Eight electronic databases were searched; abstracts and papers were reviewed in duplicate. Randomized controlled trials of hip protectors in nursing homes were included. The pooled mean odds ratio (OR) of a hip fracture in an individual allocated to hip protectors with 95% credibility interval (CRI) was calculated. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptResults-We included four trials of 1,922 individuals (including three CRTs). The pooled OR of an elderly nursing home resident sustaining one or more hip fractures with hip protector allocation was 0.40 (95% CRI 0.25, 0.61). The model was robust in multiple sensitivity analyses assuming alternative intracluster correlation coefficient values. Conclusion-TheBayesian approach may be used in meta-analyses of IRTs and CRTs. Using this approach, we have determined that hip protectors decrease the risk of hip fracture in elderly nursing home residents. Methodologic limitations of the included trials and a possible herd effect in CRTs may have influenced these results.

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Section: Studies Included In the Systematic Reviewmentioning

confidence: 99%

Section: Characteristics Of the Included Trialsmentioning

confidence: 99%

Section: Characteristics Of the Included Trialsmentioning

confidence: 99%

See 1 more Smart Citation

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Sawka

Boulos

Beattie

et al. 2007

Journal of Clinical Epidemiology

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“…The following factors may influence the compliance negatively: musculoskeletal or cerebral disorders [11]; adverse effects, such as skin irritation or abrasion, swelling of the legs, bowel irritation [25,26,30]; hip protector experienced as too hot [29,33], uncomfortable in bed [26,29,33] and necessitating assistance in toileting [29,33]; being bedridden [30]. Other factors may influence the compliance positively: the good understanding and sufficient motivation of the institution staff [27] or staff commitment [26]; dementia [27]; hip protectors feeling warm, increasing the feeling of safety and decreasing the fear of falling [29,33]; positive attitude of the staff because the patients could be left to walk around more freely [29,33].…”

Section: Resultsmentioning

confidence: 99%

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Schoor

Devillé

Bouter

et al. 2002

Osteoporosis International

129

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Abstract. Hip fractures may be prevented by the use of external hip protectors, but compliance is often poor. Therefore, the objective of this study was to assess the determinants of compliance with hip protectors by systematically reviewing the literature. A literature search was performed in PubMed, Embase and the Cochrane Library. Primary acceptance with hip protectors ranged from 37% to 72% (median 68%); compliance varied between 20% and 92% (median 56%). However, in most studies it was not very clear how compliance was defined (e.g., average wearing time on active days and during waking hours, number of user-days per all available follow-up days, percentage falls with hip protector) and how it was measured. To provide more insight in the compliance percentages, the different methods of defining and measuring compliance were presented for the selected studies, when provided. Because of the heterogeneity in study design of the selected studies and the lack of quantitative data in most studies, results regarding the determinants of compliance could not be statistically pooled. Instead a qualitative summary of the determinants of compliance was given. The reasons most frequently mentioned for not wearing hip protectors, were: not being comfortable (too tight/ poor fit); the extra effort (and time) needed to wear the device; urinary incontinence; and physical difficulties/ illnesses. In conclusion, compliance is a very complex, but important issue in hip protector research and implementation. Based on the experiences of elderly people who wear the hip protectors, adjustments should be made to the protector and the underwear, while maintaining the force attenuation capacity. Furthermore, methods to improve the compliance should be developed, and their effectiveness tested.

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“…Hip protectors (115)(116)(117)(118)(119)(120)(121) Hip protectors are a device used to disperse the impact of a fall. The available evidence for hip protectors demonstrates that:…”

Section: What Are the Main Risk Factors For Falls Amongst Older Peoplmentioning

confidence: 99%

Analysis of Fall Injuries by Body Mass Index

Ren¹,

Waclawczyk²,

Hartfield³

et al. 2014

Southern Medical Journal

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This report is HEN's response to a question from a decision-maker. It provides a synthesis of the best available evidence, including a summary of the main findings and policy options related to the issue. Fall prevention programmes can be effective in reducing the number of people who fall and the rate of falls. Targeted strategies aimed at behavioural change and risk modification for those living in the community appear to be most promising. Multifactorial intervention programmes that include risk factor assessment and screening have been shown to be effective. However, no screening tools have been rigorously validated across countries and further work is needed in this area.HEN, initiated and coordinated by the WHO Regional Office for Europe, is an information service for public health and health care decision-makers in the WHO European Region. Other interested parties might also benefit from HEN.

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Hip protectors and hip fractures

Cited by 31 publications

References 5 publications

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Analysis of Fall Injuries by Body Mass Index

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