Hip protectors for preventing hip fractures in the elderly.

Abstract:

BACKGROUND:Hip fracture in the elderly is usually the result of a simple fall and hip protectors have been advocated as a means to reduce impact and consequences of such falls. OBJECTIVES:To determine if external hip protectors reduce the incidence of hip fractures in elderly persons following a fall. SEARCH STRATEGY:The Cochrane Musculoskeletal Injuries Group trials register, MEDLINE, and reference lists of relevant articles were searched, and identified trialists contacted. Date of the most recent search: August 1998. SELECTION CRITERIA:All randomised or quasi-randomised controlled trials comparing the use of hip protectors with a control group. DATA COLLECTION AND ANALYSIS:Two reviewers independently assessed trial quality, using a ten item scale, and extracted data. Additional information was sought from all trialists. Wherever appropriate and possible, the data are presented graphically. MAIN RESULTS:Five randomised trials involving 1681 participants were included within the review. All studies involved elderly people in nursing homes or residential care, three within the Scandinavian countries, one in Japan and one in the United Kingdom. The two largest studies involving 1409 participants randomised by nursing home or nursing home ward rather than by the individual (cluster randomisation). One study of 141 individuals was primarily a compliance study. Summation of results from four of these studies gave an occurrence of hip fractures of 13/620 (2.1%) for those allocated to wear hip protectors, against 57/920 (6.2%) to those not allocated to wear protectors. However due to the large number of participants allocated by cluster randomisation it was not possible to demonstrate conclusively that this difference between groups was statistically significant. Only one of the 13 hip fractures that occurred in the individuals allocated to wear hip protectors occurred whilst the protector was worn. No significant adverse effects of the hip protectors were reported but compliance, particularly in the long term, was poor. REVIEWER'S CONCLUSIONS:Hip protectors appear to reduce the risk of hip fracture within a selected population at high risk of sustaining a hip fracture. However, this conclusion is based on four trials of low to moderate quality. As two used cluster randomisation, pooling of data was not possible. The generalisability of the results is unknown beyond high-risk populations. Results from six ongoing trials may clarify this situation. Acceptability by users of the protectors remains a problem, due to discomfort and practicality.

authors

Parker MJ,Gillespie LD,Gillespie WJ

doi

10.1002/14651858.CD001255

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

CD001255

issue

2

issn

1469-493X

pii

CD001255

pub_type

杂志文章,评审
  • Frequency of endotracheal suctioning for the prevention of respiratory morbidity in ventilated newborns.

    abstract:BACKGROUND:Endotracheal suctioning consists of the mechanical aspiration of pulmonary secretions from the endotracheal tube (ETT) to prevent obstruction. The optimal frequency of ETT suctioning has not been defined. OBJECTIVES:To determine the effect of specific ordered frequency of ETT suctioning ('as scheduled') ver...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD011493.pub2

    authors: Bruschettini M,Zappettini S,Moja L,Calevo MG

    更新日期:2016-03-07 00:00:00

  • Polyclonal and monoclonal antibodies for treating acute rejection episodes in kidney transplant recipients.

    abstract:BACKGROUND:Registry data shows that between 15-35% kidney recipients will undergo treatment for at least one episode of acute rejection within the first post transplant year. Treatment options include pulsed steroid therapy, the use of an antibody preparation, the alteration of background immunosuppression, or combinat...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004756.pub3

    authors: Webster A,Pankhurst T,Rinaldi F,Chapman JR,Craig JC

    更新日期:2006-04-19 00:00:00

  • Mefloquine for preventing malaria in non-immune adult travellers.

    abstract:BACKGROUND:Mefloquine is a commonly prescribed antimalarial drug which has now largely replaced earlier malaria chemoprophylaxis, since increasing parasite resistance has meant that these earlier drugs are no longer considered to be effective against all Plasmodium species. However mefloquine may be associated with neu...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000138

    authors: Croft AM,Garner P

    更新日期:2000-01-01 00:00:00

  • Psychosocial interventions for people with both severe mental illness and substance misuse.

    abstract:BACKGROUND:Even low levels of substance misuse by people with a severe mental illness can have detrimental effects. OBJECTIVES:To assess the effects of psychosocial interventions for reduction in substance use in people with a serious mental illness compared with standard care. SEARCH METHODS:The Information Speciali...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD001088.pub4

    authors: Hunt GE,Siegfried N,Morley K,Brooke-Sumner C,Cleary M

    更新日期:2019-12-12 00:00:00

  • Interventions for replacing missing teeth: 1- versus 2-stage implant placement.

    abstract:BACKGROUND:Implants may be placed penetrating the oral mucosa (1-stage procedure) or can be completely buried under the oral mucosa (2-stage procedure) during the healing phase of the bone at the implant surface. With a 2-stage procedure the risk of having unwanted loading onto the implants is minimized, but a second m...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006698.pub2

    authors: Esposito M,Grusovin MG,Chew YS,Coulthard P,Worthington HV

    更新日期:2009-07-08 00:00:00

  • Infant position in neonates receiving mechanical ventilation.

    abstract:BACKGROUND:A variety of body positions other than the standard supine position have been used in patients undergoing intensive care with hopes of reducing the incidence of pressure ulcers of the skin, contractures or ankylosis and improving the patients' well being. In patients from different age groups undergoing mech...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003668.pub3

    authors: Balaguer A,Escribano J,Roqué i Figuls M,Rivas-Fernandez M

    更新日期:2013-03-28 00:00:00

  • Subcutaneous rapid-acting insulin analogues for diabetic ketoacidosis.

    abstract:BACKGROUND:Diabetic ketoacidosis (DKA) is an acute, life-threatening complication of uncontrolled diabetes that mainly occurs in individuals with autoimmune type 1 diabetes, but it is not uncommon in some people with type 2 diabetes. The treatment of DKA is traditionally accomplished by the administration of intravenou...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD011281.pub2

    authors: Andrade-Castellanos CA,Colunga-Lozano LE,Delgado-Figueroa N,Gonzalez-Padilla DA

    更新日期:2016-01-21 00:00:00

  • Alternative positions for the baby at birth before clamping the umbilical cord.

    abstract:BACKGROUND:The third stage of labour is from birth of the baby until delivery of the placenta. Clamping the umbilical cord is one component of active management of the third stage. Deferring cord clamping allows blood flow between the baby and the placenta to continue; net transfer to the baby is called placental trans...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007555.pub2

    authors: Airey RJ,Farrar D,Duley L

    更新日期:2010-10-06 00:00:00

  • Bronchoscopic lung volume reduction procedures for chronic obstructive pulmonary disease.

    abstract:BACKGROUND:In the recent years, a variety of bronchoscopic lung volume reduction (BLVR) procedures have emerged that may provide a treatment option to participants suffering from moderate to severe chronic obstructive pulmonary disease (COPD). OBJECTIVES:To assess the effects of BLVR on the short- and long-term health...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD012158.pub2

    authors: van Agteren JE,Hnin K,Grosser D,Carson KV,Smith BJ

    更新日期:2017-02-23 00:00:00

  • Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury.

    abstract:BACKGROUND:Traumatic brain injury is common and presents a health problem with significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen supply to the injured brain and, therefore, to reduce the volume of brain that will ultimately perish. It is postulated that the add...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004609.pub2

    authors: Bennett MH,Trytko B,Jonker B

    更新日期:2004-10-18 00:00:00

  • Medical treatment for early fetal death (less than 24 weeks).

    abstract:BACKGROUND:In most pregnancies that miscarry, arrest of embryonic or fetal development occurs some time (often weeks) before the miscarriage occurs. Ultrasound examination can reveal abnormal findings during this phase by demonstrating anembryonic pregnancies or embryonic or fetal death. Treatment before 14 weeks has t...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002253.pub3

    authors: Neilson JP,Hickey M,Vazquez J

    更新日期:2006-07-19 00:00:00

  • Ultrasound use for the placement of haemodialysis catheters.

    abstract:BACKGROUND:A significant proportion of patients starting dialysis do so with a temporary or tunnelled haemodialysis catheter. Insertion of these catheters can be achieved either by using the anatomical landmarks for the veins into which they are inserted or using ultrasound guidance. It has been suggested that the use ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005279.pub4

    authors: Rabindranath KS,Kumar E,Shail R,Vaux EC

    更新日期:2011-11-09 00:00:00

  • Servo-control for maintaining abdominal skin temperature at 36C in low birth weight infants.

    abstract:BACKGROUND:Randomized trials have shown that the neonatal mortality rate of low birth-weight babies can be reduced by keeping them warm. For low birth-weight babies nursed in incubators, warm conditions may be achieved either by heating the air to a desired temperature, or by servo-controlling the baby's body temperatu...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001074

    authors: Sinclair JC

    更新日期:2002-01-01 00:00:00

  • Pharmacological interventions for recurrent abdominal pain (RAP) in childhood.

    abstract:BACKGROUND:Between 4% and 25% of school age children complain of recurrent abdominal pain (RAP) of sufficient severity to interfere with daily activities. For the majority of such children no organic cause for their pain can be found on physical examination or investigation. Although most children are likely managed by...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003017

    authors: Huertas-Ceballos A,Macarthur C,Logan S

    更新日期:2002-01-01 00:00:00

  • Household interventions for preventing domestic lead exposure in children.

    abstract:BACKGROUND:Lead poisoning is associated with physical, cognitive and neurobehavioural impairment in children and trials have tested many household interventions to prevent lead exposure. This is an update of the original review by the same authors first published in 2008. OBJECTIVES:To determine the effectiveness of h...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006047.pub4

    authors: Yeoh B,Woolfenden S,Lanphear B,Ridley GF,Livingstone N,Jorgensen E

    更新日期:2014-12-15 00:00:00

  • Cholinesterase inhibitors for the treatment of delirium in non-ICU settings.

    abstract:BACKGROUND:Delirium is a common clinical syndrome defined as alterations in attention with an additional disturbance in cognition or perception, which develop over a short period of time and tend to fluctuate during the course of the episode. Delirium is commonly treated in hospitals or community settings and is often ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD012494.pub2

    authors: Yu A,Wu S,Zhang Z,Dening T,Zhao S,Pinner G,Xia J,Yang D

    更新日期:2018-06-28 00:00:00

  • Selenium for preventing cancer.

    abstract:BACKGROUND:This review is an update of the first Cochrane publication on selenium for preventing cancer (Dennert 2011).Selenium is a metalloid with both nutritional and toxicological properties. Higher selenium exposure and selenium supplements have been suggested to protect against several types of cancers. OBJECTIVE...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005195.pub3

    authors: Vinceti M,Dennert G,Crespi CM,Zwahlen M,Brinkman M,Zeegers MP,Horneber M,D'Amico R,Del Giovane C

    更新日期:2014-03-30 00:00:00

  • Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence.

    abstract:BACKGROUND:Methadone maintenance was the first widely used form of opioid replacement therapy developed to treat heroin dependence, and it remains the best-researched treatment for this problem. Despite the widespread use of methadone in maintenance treatment for opioid dependence in many countries, it is a controversi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002209

    authors: Mattick RP,Breen C,Kimber J,Davoli M

    更新日期:2003-01-01 00:00:00

  • Interventions for increasing fruit and vegetable consumption in children aged five years and under.

    abstract:BACKGROUND:Insufficient consumption of fruits and vegetables in childhood increases the risk of future non-communicable diseases, including cardiovascular disease. Interventions to increase consumption of fruit and vegetables, such as those focused on specific child-feeding strategies and parent nutrition education int...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008552.pub5

    authors: Hodder RK,O'Brien KM,Stacey FG,Wyse RJ,Clinton-McHarg T,Tzelepis F,James EL,Bartlem KM,Nathan NK,Sutherland R,Robson E,Yoong SL,Wolfenden L

    更新日期:2018-05-17 00:00:00

  • Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.

    abstract:BACKGROUND:Pulmonary rehabilitation has become a cornerstone in the management of patients with stable Chronic Obstructive Pulmonary Disease (COPD). Systematic reviews have shown large and important clinical effects of pulmonary rehabilitation in these patients. In unstable COPD patients who have suffered from an exace...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005305.pub2

    authors: Puhan M,Scharplatz M,Troosters T,Walters EH,Steurer J

    更新日期:2009-01-21 00:00:00

  • Interventions for improving the psychosocial well-being of children affected by HIV and AIDS.

    abstract:BACKGROUND:As a result of HIV-related mortalities more than 13 million children under the age of 15 have lost a parent due to HIV and AIDS. There are also many children who have HIV-positive parents or primary caregivers; these children are affected by HIV and AIDS and are potentially vulnerable to HIV transmission. Ch...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD006733.pub2

    authors: King E,De Silva M,Stein A,Patel V

    更新日期:2009-04-15 00:00:00

  • Cholinesterase inhibitors for rarer dementias associated with neurological conditions.

    abstract:BACKGROUND:Rarer dementias include Huntington's disease (HD), cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), frontotemporal dementia (FTD), dementia in multiple sclerosis (MS) and progressive supranuclear palsy (PSP). Cholinesterase inhibitors, including donepezil,...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009444.pub3

    authors: Li Y,Hai S,Zhou Y,Dong BR

    更新日期:2015-03-03 00:00:00

  • Hyperbaric oxygen therapy for chronic wounds.

    abstract:BACKGROUND:Chronic wounds are common and present a health problem with significant effect on quality of life. Various pathologies may cause tissue breakdown, including poor blood supply resulting in inadequate oxygenation of the wound bed. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen supply to ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004123.pub4

    authors: Kranke P,Bennett MH,Martyn-St James M,Schnabel A,Debus SE,Weibel S

    更新日期:2015-06-24 00:00:00

  • Prophylactic intravenous preloading for regional analgesia in labour.

    abstract:BACKGROUND:Reduced uterine blood flow from maternal hypotension may contribute to fetal heart rate changes which are common following regional analgesia (epidural or spinal or combined spinal-epidural (CSE)) during labour. Intravenous fluid preloading may help to reduce maternal hypotension but using lower doses of loc...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000175.pub2

    authors: Hofmeyr G,Cyna A,Middleton P

    更新日期:2004-10-18 00:00:00

  • Interventions for disorders of eye movement in patients with stroke.

    abstract:BACKGROUND:Eye movement disorders may affect over 70% of stroke patients. These eye movement disorders can result in difficulty maintaining the normal ocular position and difficulty moving the eyes appropriately. The resulting functional disabilities include a loss of depth perception, reduced hand-to-eye co-ordination...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD008389.pub2

    authors: Pollock A,Hazelton C,Henderson CA,Angilley J,Dhillon B,Langhorne P,Livingstone K,Munro FA,Orr H,Rowe FJ,Shahani U

    更新日期:2011-10-05 00:00:00

  • Antidepressants for smoking cessation.

    abstract:BACKGROUND:There are two reasons to believe antidepressants might help in smoking cessation. First, depression may be a symptom of nicotine withdrawal, and smoking cessation sometimes precipitates depression. Second, smoking appears to be due, in part, to deficits in dopamine, serotonin and norepinephrine, all of which...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000031

    authors: Hughes JR,Stead LF,Lancaster T

    更新日期:2000-01-01 00:00:00

  • Steroidal contraceptives: effect on carbohydrate metabolism in women without diabetes mellitus.

    abstract:BACKGROUND:Many hormonal contraceptives have been associated with changes in carbohydrate metabolism. Alterations may include decreased glucose tolerance and increased insulin resistance, which are risk factors for Type 2 diabetes mellitus and cardiovascular disease. These issues have been raised primarily with contrac...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006133.pub5

    authors: Lopez LM,Grimes DA,Schulz KF

    更新日期:2014-04-30 00:00:00

  • Pharmacotherapies that specifically target ammonia for the prevention and treatment of hepatic encephalopathy in adults with cirrhosis.

    abstract:BACKGROUND:Hepatic encephalopathy is a common complication of cirrhosis, with high related morbidity and mortality. Its presence is associated with a wide spectrum of change ranging from clinically obvious neuropsychiatric features, known as 'overt' hepatic encephalopathy, to abnormalities manifest only on psychometric...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD012334.pub2

    authors: Zacharias HD,Zacharias AP,Gluud LL,Morgan MY

    更新日期:2019-06-17 00:00:00

  • Intercessory prayer for the alleviation of ill health.

    abstract:BACKGROUND:Prayer is an ancient and widely used intervention for alleviating illness and promoting good health. This review focuses specifically on intercessory prayer, which is organised, regular and committed, and those who practise it will almost inevitably hold some committed belief that they are praying to God. Wh...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000368

    authors: Roberts L,Ahmed I,Hall S

    更新日期:2000-01-01 00:00:00

  • Non-steroidal anti-inflammatory drugs versus corticosteroids for controlling inflammation after uncomplicated cataract surgery.

    abstract:BACKGROUND:Cataract is a leading cause of blindness worldwide. Cataract surgery is commonly performed but can result in postoperative inflammation of the eye. Inadequately controlled inflammation increases the risk of complications. Non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids are used to prevent ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010516.pub2

    authors: Juthani VV,Clearfield E,Chuck RS

    更新日期:2017-07-03 00:00:00