JAMDA
Volume 7, Issue 9 , Pages 550-555 , November 2006

Design Features to Enhance External Hip Protector Adherence in the Nursing Home Setting

  • Lisa A. Honkanen, MD, MA

      Affiliations

    • The Division of Geriatrics and Gerontology, The Joan and Sanford Weill Medical College, Cornell University, New York, NY
    • The Department of Public Health, The Joan and Sanford Weill Medical College, Cornell University, New York, NY.
    • Corresponding Author InformationAddress correspondence to Lisa A. Honkanen, MD, MA, Weill Medical College of Cornell University, 525 E. 68th Street, Box 39, New York, NY 10021.
    • ,
  • Melissa L. Dehner, MSE

      Affiliations

    • The Division of Geriatrics and Gerontology, The Joan and Sanford Weill Medical College, Cornell University, New York, NY
    • ,
  • Mark S. Lachs, MD, MPH

      Affiliations

    • The Division of Geriatrics and Gerontology, The Joan and Sanford Weill Medical College, Cornell University, New York, NY

References 

  1. Kannus P, Parkkari J, Poutala J. Comparison of force attenuation properties of four different hip protectors under simulated falling conditions in the elderly: An in vitro biomechanical study. Bone. 1999;25:229–235
  2. Schmitt KU, Spierings AB, Derler S. A finite element approach and experiments to assess the effectiveness of hip protectors. Technol Health Care. 2004;12:43–49
  3. Forsen L, Sogaard AJ, Sandvig S, et al. Risk of hip fracture in protected and unprotected falls in nursing homes in Norway. Inj Prev. 2004;10:16–20
  4. Kannus P, Parkkari J, Niemi S, et al. Prevention of hip fracture in elderly people with use of a hip protector. N Engl J Med. 2000;343:1506–1513
  5. Kurrle SE, Cameron ID, Quine S. Predictors of adherence with the recommended use of hip protectors. J Gerontol A Biol Sci Med Sci. 2004;59:M958–M961
  6. Kurrle SE, Cameron ID, Quine S, Cumming RG. Adherence with hip protectors: A proposal for standardised definitions. Osteoporos Int. 2004;15:1–4
  7. Honkanen LA. External hip protectors and risk of hip fracture. JAMA. 2003;290:883–884author reply 4–5
  8. Parker MJ, Gillespie LD, Gillespie WJ. Hip protectors for preventing hip fractures in the elderly. Cochrane Database Syst Rev. 2004;3:CD001255
  9. Office of Technology Assessment. Hip Fracture Outcomes in People Age 50 and Over—Background Paper. Washington, DC: Office of Technology Assessment; 1994;Report No. OTA-BP-H-120
  10. Butler M, Norton R, Lee-Joe T, et al. The risks of hip fracture in older people from private homes and institutions. Age Ageing. 1996;25:381–385
  11. Cumming RG. Nursing home residence and risk of hip fracture. Am J Epidemiol. 1996;143:1191–1194
  12. Eastwood EA, Magaziner J, Wang J, et al. Patients with hip fracture: Subgroups and their outcomes. J Am Geriatr Soc. 2002;50:1240–1249
  13. Marottoli RA, Berkman LF, Leo-Summers L, Cooney LM. Predictors of mortality and institutionalization after hip fracture: The New Haven EPESE cohort (Established Populations for Epidemiologic Studies of the Elderly). Am J Public Health. 1994;84:1807–1812
  14. Ooms ME, Vlasman P, Lips P, et al. The incidence of hip fractures in independent and institutionalized elderly people. Osteoporos Int. 1994;4:6–10
  15. Keene GS, Parker MJ, Pryor GA. Mortality and morbidity after hip fractures. BMJ. 1993;307(6914):1248–1250
  16. Koval KJ, Zuckerman JD. Functional recovery after fracture of the hip. J Bone Joint Surg Am. 1994;76:751–758
  17. Butler M, Coggan C, Norton R. A qualitative investigation into the receptivity to hip protective underwear among staff and residents of residential institutions. N Z Med J. 1998;111(1075):383–385
  18. Hubacher M, Wettstein A. Acceptance of hip protectors for hip fracture prevention in nursing homes. Osteoporos Int. 2001;12:794–799
  19. Van Schoor N, Asma G, Smit J. The Amsterdam Hip Protector Study: Compliance and determinants of compliance. Osteoporos Int. 2003;14:353–359
  20. Burl JB, Centola J, Bonner A, Burque C. Hip protector compliance: A 13-month study on factors and cost in a long-term care facility. J Am Med Dir Assoc. 2003;4:245–250
  21. Cryer C, Knox A, Martin D, Barlow J. Hip protector compliance among older people living in residential care homes. Inj Prev. 2002;8:202–206
  22. Stokes E, Bourke A, Monaghan F, Scully C. Hip protectors: A survey of practice in Ireland. Ir Med J. 2005;98:21–24
  23. The HipSaver Company I. HipSavers Professional’s Catalog. Canton, MA: HipSaver, Inc; 2004;

 This work was supported by the Mary and David Hoar Grant Program of the New York Community Trust and The New York Academy of Medicine.

PII: S1525-8610(06)00258-1

doi: 10.1016/j.jamda.2006.05.005

JAMDA
Volume 7, Issue 9 , Pages 550-555 , November 2006

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