ArticlePloS one2011
Reduction of femoral fractures in long-term care facilities: the Bavarian fracture prevention study.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Interventions to Change Staff Care Practices in Order to Improve Resident Outcomes in Nursing Homes.PloS one · 2015Pooled it
- Article
- System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Assessing the feasibility of an integrated collection of education modules for fall and fracture prevention (iCARE) for healthcare providers in long term care: A longitudinal study.PLOS global public health · 2024Article
- Models of care for osteoporosis: A systematic scoping review of efficacy and implementation characteristics.EClinicalMedicine · 2021Article
- Education interventions for health professionals on falls prevention in health care settings: a 10-year scoping review.BMC geriatrics · 2020Article
- The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults: A Cohort Study of Video-Captured Falls in Long-Term Care.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020Article
- Long-term evaluation of the implementation of a large fall and fracture prevention program in long-term care facilities.BMC geriatrics · 2018Article
- Predictors of non-vertebral fracture in older Chinese males and females: Mr. OS and Ms. OS (Hong Kong).Journal of bone and mineral metabolism · 2017Article
- [New strategies for exercise training in osteoporosis].Der Unfallchirurg · 2015Review
- The Microbiome and Osteosarcopenic Obesity in Older Individuals in Long-Term Care Facilities.Current osteoporosis reports · 2015Review
- [Endoprosthetic treatment of osteoporosis-related coxarthrosis : aspects of safe patient treatment].Der Orthopade · 2014Review
- Fracture risk assessment in long-term care: a survey of long-term care physicians.BMC geriatrics · 2013Article
- Cost-effectiveness of a multifactorial fall prevention program in nursing homes.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- The health burden and costs of incident fractures attributable to osteoporosis from 2010 to 2050 in Germany--a demographic simulation model.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- [Fall and fracture prevention based on the National Expert Standard. Implementation and costs in a real world setting in nursing homes].Zeitschrift fur Gerontologie und Geriatrie · 2012Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip 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.
methodsIn 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.
resultsIn 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.
conclusionsThe state-wide dissemination of a multi-factorial fall and fracture prevention program was able to reduce femoral fractures in residents of nursing homes.
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