[논문]High Efficacy for Hip Protectors in the Prevention of Hip Fractures Among Elderly People With Dementia

doi:10.1016/j.jamda.2007.10.011

High Efficacy for Hip Protectors in the Prevention of Hip Fractures Among Elderly People With Dementia

Journal of the American Medical Directors Association, v.9 no.5, 2008년, pp.313 - 318

Garfinkel, Doron (Address correspondence to Doron Garfinkel, MD, Department of Evaluation and Rehabilitation and Palliative Unit, Shoham Geriatric Medical Center, Pardes Hana, Israel 37000.) , Radomislsky, Zorian (Department of Evaluation and Rehabilitation and Palliative Unit, Shoham Geriatric Medical Center, Pardes Hana, Israel.) , Jamal, Samira (Department of Evaluation and Rehabilitation and Palliative Unit, Shoham Geriatric Medical Center, Pardes Hana, Israel.) , Ben-Israel, Joshua (Department of Evaluation and Rehabilitation and Palliative Unit, Shoham Geriatric Medical Center, Pardes Hana, Israel.)

Abstract ▼ AI-Helper

ObjectiveTo evaluate the efficacy of hip protectors (HP) in preventing hip fractures (HF) in patients with dementia.DesignA case-control study.SettingFour specialized dementia units.Participants206 physically independent patients with dementia.InterventionsBeginning in January 2004, following the recommendation of the Israeli Ministry of Health, we recommended the use of HP (Hip Saver-nursing home type) to each family/guardian of all patients in these departments.MeasurementsThe rate of falls and HF per falls in patients with and without HP.ResultsWe achieved patient compliance of 70% to 80% for wearing the HP 24 hours a day; 106 patients were permanently wearing HP for a total period of 1905 months. Of those, subgroup B of 63 patients had been monitored prior to January 2004, before HP were introduced. One hundred patients of the same departments have never used HP; together with the months of follow-up before January 2004 in subgroup B, the follow-up period in patients not wearing HP, reached a total of 3136 months. There was no statistical difference between patients with/without HP regarding age, gender, comorbidities, routine laboratory findings, and medications. The rate of falls was not significantly different in patients with and without HP. However, there was a significant difference in the rate of hip fractures (HF): in patients not wearing HP there were 323 falls resulting in 14 HF, and in patients wearing HP, 260 falls but only 2 HF (4.3% versus 0.8%, respectively, P = .007, chi-square test, 95% confidence interval 1.3–24.6, NNT = 28).ConclusionsWhen appropriately introduced and used, hip protectors have high efficacy in preventing hip fractures in long-term care patients with dementia. The medical, social, and economic beneficial outcomes are substantial.

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참고문헌 (27)

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High Efficacy for Hip Protectors in the Prevention of Hip Fractures Among Elderly People With Dementia

Abstract ▼ AI-Helper

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