Predictors of postoperative falls in the first and second postoperative years among older hip fracture patients

Yeh, Hsiang-Fen; Shao, Jung-Hua; Li, Chia-Lin; Wu, Chi‐Chuan; Shyu, Yea‐Ing Lotus

doi:10.1111/jocn.13743

Cited by 11 publications

(7 citation statements)

References 38 publications

(81 reference statements)

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“…It is known that postoperative recovery involves several factors that include the reestablishment of the physical, physiological and social functions. Therefore, prediction of a poor quality of surgical recovery is also an indicator to identify patients with a high risk of falls, mainly because poor quality of surgical recovery is associated with high rates of postoperative complications, extension of the hospitalization stay, and more rehospitalizations 28 . …”

Section: Discussionmentioning

confidence: 99%

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

Mata

Azevedo

Policarpo

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective: to assess the factors associated with the risk of fall in patients undergoing surgical procedures.Method: quantitative and cross-sectional study carried out with 257 adult patients in a hospital in the state of Minas Gerais, Brazil. Data were collected using the sociodemographic and clinical questionnaire, the Morse Fall Scale, and the Quality of Recovery Score. Data were submitted to descriptive statistical analysis and multinomial logistic regression. The level of significance was set at 0.05.Results: 35.4% of patients had high risk of falls, 38.9% had moderate risk and 25.7% had low risk. The mean value in the surgical recovery scale was 175.37 points and no patient presented poor surgical recovery. Regarding the results of the bivariate analysis, it was found that age (p<0.001), SAH (p<0.001) and diabetes (p=0.017) were positively associated with high risk of fall, whereas cancer (p=0.004) was positively associated with moderate risk of fall. Surgical recovery (p=0,008) was inversely associated with high risk of fall.Conclusion: the results of this study allowed the identification of five factors associated with the risk of fall in adults in the postoperative hospital stay. These findings may support the planning of nursing actions aimed at preventing the risk of fall in the postoperative period.

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Section: Discussionmentioning

confidence: 99%

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

Mata

Azevedo

Policarpo

et al. 2017

Rev. Latino-Am. Enfermagem

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“…Various other studies included older, hip fracture patients and reported higher 1 year fall incidences up to 55%, [7][8][9][10][11] except for the study from Yeh et al that reported a lower 1-year fall incidence (31%). 30 Higher fall incidences in hip fracture studies can partially be explained by the older study population. Unfortunately, other fall risk factors cannot be compared.…”

Section: Discussionmentioning

confidence: 98%

Association between incident falls and subsequent fractures in patients attending the fracture liaison service after an index fracture: a 3-year prospective observational cohort study

et al. 2022

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ObjectivesTo evaluate the risk of subsequent fractures in patients who attended the Fracture Liaison Service (FLS), with and without incident falls after the index fracture.DesignA 3-year prospective observational cohort study.SettingAn outpatient FLS in the Netherlands.ParticipantsPatients aged 50+ years with a recent clinical fracture.Outcome measuresIncident falls and subsequent fractures.ResultsThe study included 488 patients (71.9% women, mean age: 64.6±8.6 years). During the 3-year follow-up, 959 falls had been ascertained in 296 patients (60.7%) (ie, fallers), and 60 subsequent fractures were ascertained in 53 patients (10.9%). Of the fractures, 47 (78.3%) were fall related, of which 25 (53.2%) were sustained at the first fall incident at a median of 34 weeks. An incident fall was associated with an approximately 9-fold (HR: 8.6, 95% CI 3.1 to 23.8) increase in the risk of subsequent fractures.ConclusionThese data suggest that subsequent fractures among patients on treatment prescribed in an FLS setting are common, and that an incident fall is a strong predictor of subsequent fracture risk. Immediate attention for fall risk could be beneficial in an FLS model of care.Trial registration numberNL45707.072.13.

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“…Postoperative compliance behaviors of effective functional exercise, wearing waist belt, and correct working posture lay the foundation for femoral healing, which can reduce waist and leg pain, strengthen the stability of spinal stabilization, and prevent recurrence. According to the study of Yeh Hsiang Fen et al [ 21 ], the recurrence rate of waist and leg pain in patients with femoral fractures is 10.06%, which is attributed to lack of correct exercise of limb function during the critical period of postoperative recovery. Thus, postoperative limb function exercise is all the more necessary for patients with femoral fracture.…”

Section: Discussionmentioning

confidence: 99%

Application of Multimode Health Education Combined with Humanistic Care in Pain Management of Patients with Femoral Fracture and Its Influence on VAS Score

Shi

Zhang

Xia

et al. 2021

Journal of Healthcare Engineering

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Objective. To explore the application of multimode health education combined with humanistic care in pain management of patients with femoral fracture and its influence on VAS score. Methods. A total of 120 patients with femoral fracture admitted in our hospital (May 2017–May 2021) were selected as the research objects. The patients who received routine health education were included into the routine group, and the patients who received multimode health education combined with humanistic care were included into the combined group, with 60 cases in each group. The pain management effect of the two groups was compared after nursing intervention. Results. No significant difference was found in age, BMI, fracture sites, gender, education degree, and residence between the two groups ( P > 0.05). The awareness rate of health knowledge of the combined group was as high as 93.33%, which was obviously higher than that of the routine group ( P < 0.05). Compared with the routine group, excellent rates of sitting durability and joint range of motion in the combined group were obviously higher ( P < 0.05), and poor rates of sitting durability and joint range of motion in the combined group were obviously lower ( P < 0.05). Compared with the routine group, VAS scores of the combined group at 1 d, 2 d, and 3 d after admission and at 1 d, 2 d, and 3 d after surgery were remarkably lower ( P < 0.05). Compared with the routine group, compliance of exercise, medical waist belt using, and working posture of the combined group 1 week, 1 month, and 6 months after surgery was obviously higher ( P < 0.05). Compared with the routine group, the scores of Rasmussen and Johner-Wruhs of the combined group 6 months after surgery were conspicuously higher ( P < 0.05). Conclusion. The application of multimode health education combined with humanistic care in pain management of patients with femoral fracture can effectively relieve pain, improve the awareness rate of health knowledge, promote the recovery of lower limb function, and enhance the prognosis of quality of life for patients.

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Predictors of postoperative falls in the first and second postoperative years among older hip fracture patients

Cited by 11 publications

References 38 publications

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study

Association between incident falls and subsequent fractures in patients attending the fracture liaison service after an index fracture: a 3-year prospective observational cohort study

Application of Multimode Health Education Combined with Humanistic Care in Pain Management of Patients with Femoral Fracture and Its Influence on VAS Score

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