Rocha Paula, Baixinho Cristina Lavareda, Marques Andréa, Henriques Adriana
Local Health Unit of Guarda, 6300-749 Guarda, Portugal.
PhD Student of University of Lisbon, 1649-004 Lisboa, Portugal.
J Pers Med. 2022 Apr 19;12(5):654. doi: 10.3390/jpm12050654.
Ageing and physical frailty associated with decrease in muscle and bone mass lead to the older persons' vulnerability and increased risk of falling. It is estimated that one in every ten falls in this age group results in a fracture, leading to a downward spiral in their health status, causing greater dependence, with a progressive functional decline that makes it difficult to return to their functional and social status prior to the fracture. The aim of this study is to identify the available evidence on the interventions that promote the safety of older people with hip fracture after hospital discharge. A search will be performed in MEDLINE and CINAHL databases. Randomised and controlled studies that focus on functional assessment, performance in activities of daily living, level of concern about falls, risk and prevalence of falls, injuries secondary to falls, re-fracture rate and health-related quality of life in hip fracture patients will be included. Two authors will perform the study selection, data extraction, and quality assessment independently. Any disagreements will be resolved through discussion with a third researcher. Methodological quality of the included trials will be evaluated by the Cochrane risk-of-bias criteria, and the Standards for Reporting Interventions in Controlled Trials.
衰老以及与肌肉和骨量减少相关的身体虚弱会导致老年人易受伤害且跌倒风险增加。据估计，该年龄组每十次跌倒中就有一次会导致骨折，从而使其健康状况呈螺旋式下降，导致更大程度的依赖，功能逐渐衰退，难以恢复到骨折前的功能和社会状态。本研究的目的是确定关于促进髋部骨折老年人出院后安全的干预措施的现有证据。将在MEDLINE和CINAHL数据库中进行检索。纳入的随机对照研究将聚焦于功能评估、日常生活活动表现、对跌倒的关注程度、跌倒风险和发生率、跌倒继发损伤、再骨折率以及髋部骨折患者的健康相关生活质量。两名作者将独立进行研究筛选、数据提取和质量评估。如有任何分歧，将通过与第三位研究人员讨论来解决。纳入试验的方法学质量将根据Cochrane偏倚风险标准以及对照试验报告干预措施的标准进行评估。
