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Centre for Policy on Ageing | |
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Effectiveness of hip protectors for preventing hip fractures in elderly people
— systematic review | | Author(s) | Martyn J Parker, William J Gillespie, Lesley D Gillespie |
| Journal title | British Medical Journal, vol 332, no 7541, 11 March 2006 |
| Pages | pp 571-573 |
| Source | http://www.bmj.com |
| Keywords | Fractures ; Preventative medicine ; Clothing aids ; Evaluation. |
| Annotation | Included in this systematic review are randomised and quasi-randomised trials that compared the incidence of hip, pelvic and other fractures in older people of either sex who were offered hip protectors, as compared to control groups who were not. The review was based on searches of Cochrane Bone, Joint and Muscle Trauma Group register (January 2005), Cochrane central register of controlled trials (2005), Medline (1966-January 2005) and CINAHL (1982-12004). Outcomes of fractures were available from 14 trials. Pooling of data from 11 trials carried out in nursing and residential care settings (including 6 cluster randomised studies) showed evidence of a marginally statistically significant reduction in incidence of hip fracture. Pooling of data from three individually randomised trials of 5,135 community-dwelling participants showed no reduction in hip fracture incidence with provision of hip protectors. No evidence was found on any significant effect of hip protectors on incidence of pelvic or other fractures. No important adverse effects of hip protectors were reported, but compliance, particularly in the long term, was poor. Thus, accumulating evidence indicates that hip protectors are ineffective for those living at home, and their effectiveness in institutional settings is also uncertain. (RH). |
| Accession Number | CPA-060502208 A |
| Classmark | CUF: LK2: MQC: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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