@article{ref1,
title="Adherence to recommendations for fall prevention significantly affects the risk of falling after hip fracture: Post-hoc analyses of a quasi-randomized controlled trial",
journal="European journal of physical and rehabilitation medicine",
year="2011",
author="Di Monaco, M. and Vallero, F. and De Toma, E. and Castiglioni, C. and Gardin, L. and Giordano, S. and Tappero, R.",
volume="48",
number="1",
pages="9-15",
abstract="BACKGROUND: Few studies focused on fall prevention in hip-fracture survivors. Aim. To investigate the role of adherence to targeted recommendations on both home environment and behaviors in affecting the hazard of falling after a fall-related hip fracture. DESIGN: Post-hoc analysis of a quasi-randomized controlled trial. SETTING: Post-acute rehabilitation hospital. POPULATION:Ninety-five of 119 women living in the community with a fall-related fracture of the hip. MTHODS: We assessed home hazard of falling and suggested targeted modifications of home environment and behaviors in activities of daily living to prevent falls during inpatient rehabilitation. Falls were recorded at a six-month follow-up during a pre-planned home visit. RESULTS:Nineteen of the 95 women sustained at least one fall during the six-month follow-up. Women with > 2 uncorrected risk factors had a significantly higher risk of falling than those with 0-2 risk factors; the odds ratio adjusted for four confounders was 4.58 (95%CI 1.472-4.250; P=0.009). Adherence to recommendations for fall prevention was negatively associated with fall risk. The adjusted odds ratio for a ten percent increase in adherence rate was 0.749 (95%CI 0.594-0.945; P=0.015). CONCLUSION:Uncorrected environmental and behavioral risk factors and poor adherence to targeted recommendations for fall prevention significantly predicted the risk of falling in community-dwelling women who sustained a fall-related hip fracture. CLINICAL REHABILITATION IMPACT: Fall-risk assessment should be performed during inpatient rehabilitation following a fall-related hip fracture. Improving adherence to targeted recommendations emerges as a major goal to prevent falls in hip-fracture survivors.<p /> <p>Language: en</p>",
language="en",
issn="1973-9087",
doi="",
url="http://dx.doi.org/"
}