External hip protectors in home-dwelling older persons.

Abstract:

BACKGROUND AND AIMS:External hip protectors have been shown to have a good preventive effect against hip fractures in many studies. However, these studies were carried out either entirely or mostly among older persons living in institutions. The aim of this study was to investigate whether health nurses can, after brief training, choose the right persons to use external hip protectors, so that, with a fairly small number of protectors, the number of hip fractures in home-dwelling older persons in a given area could be significantly reduced. METHODS:One hundred and fifty pairs of external hip protectors were given to the health nurses of the Central district of Tampere Health Center, to give to those older persons aged more than 75 years who, in their opinion, most needed preventive measures against hip fractures. Older persons living in other districts served as controls. The number of hip fractures in each district for each 6-month period was obtained from the Data Center of Pirkanmaa Health District. RESULTS:Whereas in control districts the number of hip fractures increased by 14 from 1.1.-30.6.1998 to 1.1.-30.6.2000 (49-63), their number diminished by 4 (43-39) in the Central district, where the protectors were used. The total cost of the external hip protectors was less than that required to treat one hip fracture in the first year. CONCLUSIONS:External hip protectors are most probably effective and economical in preventing hip fractures also among home-dwelling older persons, as has previously been shown among nursing home patients.

journal_name

Aging Clin Exp Res

authors

Heikinheimo R,Jalonen-Männikkö A,Asumaniemi H,Lehtomäki E

doi

10.1007/BF03324530

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

41-3

issue

1

eissn

1594-0667

issn

1720-8319

journal_volume

16

pub_type

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