Demontiero Oddom, Gunawardene Piumali, Duque Gustavo
Department of Geriatric Medicine, Nepean Hospital, PO Box 63, Penrith, New South Wales 2750, Australia; Ageing Bone Research Program, Sydney Medical School Nepean, The University of Sydney, Penrith, New South Wales, Australia.
Department of Geriatric Medicine, Nepean Hospital, PO Box 63, Penrith, New South Wales 2750, Australia; Ageing Bone Research Program, Sydney Medical School Nepean, The University of Sydney, Penrith, New South Wales, Australia; Division of Geriatric Medicine, Sydney Medical School Nepean, The University of Sydney, PO Box 63, Penrith, New South Wales 2750, Australia.
Clin Geriatr Med. 2014 May;30(2):333-47. doi: 10.1016/j.cger.2014.01.018. Epub 2014 Mar 14.
The postoperative period after correction of a fragility fracture is usually associated with functional deconditioning. This deconditioning is caused by multiple factors associated with a higher risk of falls during the immediate postoperative period and after discharge. Identification of risk and appropriate fall prevention interventions in these patients are pivotal. In this article, an overview is presented of the strategies to identify falls risk in postoperative patients after suffering a fragility fracture. Evidence is presented favoring targeted multicomponent intervention for falls prevention rather than a single intervention in fractured older patients at high risk of new falls and fractures.
脆性骨折矫正术后的时期通常与功能衰退有关。这种功能衰退是由多种因素引起的，这些因素与术后即刻及出院后较高的跌倒风险相关。识别这些患者的风险并采取适当的预防跌倒干预措施至关重要。本文概述了脆性骨折术后患者跌倒风险的识别策略。有证据表明，对于有新跌倒和骨折高风险的老年骨折患者，针对性的多组分预防跌倒干预优于单一干预。
