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A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture
Stenvall M, Olofsson B, Lundström M, Englund U, Borssén B, Svensson O, Nyberg L, Gustafson Y.. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2006-10-24
Topic: Risk, prevention and care in population studies
Introduction This study evaluates whether a postoperative multidisciplinary, intervention program, including systematic assessment and treatment of fall risk factors, active prevention, detection, and treatment of postoperative complications, could reduce inpatient falls and fall-related injuries after a femoral neck fracture. Methods A randomized, controlled trial at the orthopedic and geriatric departments at Umeå University Hospital, Sweden, included 199 patients with femoral neck fracture, aged >or=70 years. Results Twelve patients fell 18 times in the intervention group compared with 26 patients suffering 60 falls in the control group. Only one patient with dementia fell in the intervention group compared with 11 in the control group. The crude postoperative fall incidence rate was 6.29/1,000 days in the intervention group vs 16.28/1,000 days in the control group. The incidence rate ratio was 0.38 [95% confidence interval (CI): 0.20 - 0.76, p=0.006] for the total sample and 0.07 (95% CI: 0.01-0.57, p=0.013) among patients with dementia. There were no new fractures in the intervention group but four in the control group. Conclusion A team applying comprehensive geriatric assessment and rehabilitation, including prevention, detection, and treatment of fall risk factors, can successfully prevent inpatient falls and injuries, even in patients with dementia.
Key findings
- Results Twelve patients fell 18 times in the intervention group compared with 26 patients suffering 60 falls in the control group.
- Only one patient with dementia fell in the intervention group compared with 11 in the control group.
Why it matters
In this randomized trial, a multidisciplinary program after femoral neck fracture reduced inpatient falls and fall-related injuries, including among patients with dementia. It is about preventing falls and injuries, not about treating, curing, or preventing Alzheimer's disease.
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Study details
- Participants199
- Evidence strengthHigh
How this study scored 64/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for effect reported because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA) |
| Journal's citation record | 2 / 4 | Osteoporosis International: journal h-index 240 (OpenAlex, 2026-10-29) |
| Study design | 11 / 12 | A randomised controlled trial (from PubMed type “Randomized Controlled Trial”) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2007 — within 20 year(s) of the newest study here |
| Sample size | 2 / 4 | 199 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 5 / 7 | Cited 239 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 11.4 citations a year over 21 year(s) since 2007 |
| Impact for its field and year | 4 / 6 | Cited 9.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 13 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Yngve Gustafson: h-index 80 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Umeå University: institution h-index 813 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 17061151) |
| Free to read | 2 / 2 | Free to read |
| Total | 64 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1007/s00198-006-0226-7
- PubMed: 17061151
- Original source →
- Free full text: Osteoporosis International →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Stenvall, M., Olofsson, B., Lundström, M., Englund, U., Borssén, B., Svensson, O., et al. (2007). A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. https://doi.org/10.1007/s00198-006-0226-7
Vancouver
Stenvall M, Olofsson B, Lundström M, Englund U, Borssén B, Svensson O, et al. A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2007. doi:10.1007/s00198-006-0226-7. PMID: 17061151.
BibTeX
@article{stenvall2007-17061151,
author = {Stenvall, M. and Olofsson, B. and Lundström, M. and Englund, U. and Borssén, B. and Svensson, O. and Nyberg, L. and Gustafson, Y.},
title = {{A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture}},
journal = {Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA},
year = {2007},
doi = {10.1007/s00198-006-0226-7},
pmid = {17061151},
url = {https://doi.org/10.1007/s00198-006-0226-7}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.