Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.

<h4>Background</h4>Hip fractures are a major public health burden. In industrialized countries about 20% of all femoral fractures occur in care dependent persons living in nursing care and assisted living facilities. Preventive strategies for these groups are needed as the access to medi...

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Autores principales: Clemens Becker, Ian D Cameron, Jochen Klenk, Ulrich Lindemann, Sven Heinrich, Hans-Helmut König, Kilian Rapp
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:0f2a6e04a9fe482aaaee50d5268c0dc62021-11-18T06:47:00ZReduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.1932-620310.1371/journal.pone.0024311https://doaj.org/article/0f2a6e04a9fe482aaaee50d5268c0dc62011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21918688/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Hip fractures are a major public health burden. In industrialized countries about 20% of all femoral fractures occur in care dependent persons living in nursing care and assisted living facilities. Preventive strategies for these groups are needed as the access to medical services differs from independent home dwelling older persons at risk of osteoporotic fractures. It was the objective of the study to evaluate the effect of a fall and fracture prevention program on the incidence of femoral fracture in nursing homes in Bavaria, Germany.<h4>Methods</h4>In a translational intervention study a fall prevention program was introduced in 256 nursing homes with 13,653 residents. The control group consisted of 893 nursing homes with 31,668 residents. The intervention consisted of staff education on fall and fracture prevention strategies, progressive strength and balance training, and on institutional advice on environmental adaptations. Incident femoral fractures served as outcome measure.<h4>Results</h4>In the years before the intervention risk of a femoral fracture did not differ between the intervention group (IG) and control group (CG). During the one-year intervention period femoral fracture rates were 33.6 (IG) and 41.0/1000 person years (CG), respectively. The adjusted relative risk of a femoral fracture was 0.82 (95% CI 0.72-0.93) in residents exposed to the fall and fracture prevention program compared to residents from CG.<h4>Conclusions</h4>The state-wide dissemination of a multi-factorial fall and fracture prevention program was able to reduce femoral fractures in residents of nursing homes.Clemens BeckerIan D CameronJochen KlenkUlrich LindemannSven HeinrichHans-Helmut KönigKilian RappPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 8, p e24311 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Clemens Becker
Ian D Cameron
Jochen Klenk
Ulrich Lindemann
Sven Heinrich
Hans-Helmut König
Kilian Rapp
Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
description <h4>Background</h4>Hip fractures are a major public health burden. In industrialized countries about 20% of all femoral fractures occur in care dependent persons living in nursing care and assisted living facilities. Preventive strategies for these groups are needed as the access to medical services differs from independent home dwelling older persons at risk of osteoporotic fractures. It was the objective of the study to evaluate the effect of a fall and fracture prevention program on the incidence of femoral fracture in nursing homes in Bavaria, Germany.<h4>Methods</h4>In a translational intervention study a fall prevention program was introduced in 256 nursing homes with 13,653 residents. The control group consisted of 893 nursing homes with 31,668 residents. The intervention consisted of staff education on fall and fracture prevention strategies, progressive strength and balance training, and on institutional advice on environmental adaptations. Incident femoral fractures served as outcome measure.<h4>Results</h4>In the years before the intervention risk of a femoral fracture did not differ between the intervention group (IG) and control group (CG). During the one-year intervention period femoral fracture rates were 33.6 (IG) and 41.0/1000 person years (CG), respectively. The adjusted relative risk of a femoral fracture was 0.82 (95% CI 0.72-0.93) in residents exposed to the fall and fracture prevention program compared to residents from CG.<h4>Conclusions</h4>The state-wide dissemination of a multi-factorial fall and fracture prevention program was able to reduce femoral fractures in residents of nursing homes.
format article
author Clemens Becker
Ian D Cameron
Jochen Klenk
Ulrich Lindemann
Sven Heinrich
Hans-Helmut König
Kilian Rapp
author_facet Clemens Becker
Ian D Cameron
Jochen Klenk
Ulrich Lindemann
Sven Heinrich
Hans-Helmut König
Kilian Rapp
author_sort Clemens Becker
title Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
title_short Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
title_full Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
title_fullStr Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
title_full_unstemmed Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
title_sort reduction of femoral fractures in long-term care facilities: the bavarian fracture prevention study.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/0f2a6e04a9fe482aaaee50d5268c0dc6
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