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Characterising falls risk factors and health care utilisation in patients with a low trauma wrist fracture attending a physiotherapy clinic
O'Reilly, Ciara
<p><strong>Introduction: </strong>Ireland's population is ageing and falls continue to be the most common cause of injury for those aged over 65. International guidelines recommend screening of low-risk falls patients in order to prevent significant impairments in the future. Mallmin et al (1993) stated that distal radius fractures occur on average 15 years prior to a hip fracture.</p> <p><strong>Aims and Objectives: </strong>The aim of this study was to characterise multifactorial falls risk factors in subjects who had sustained a low trauma wrist fracture and identify their health care utilisation.</p> <p><strong>Methods: </strong>This was a case-control, observational study which involved recruitment of 41 consecutive adults between 55 and 80 years who sustained a low trauma wrist fracture. For comparison 41 healthy controls were also recruited. A comprehensive multi-factorial falls assessment was performed on both groups.</p> <p><strong>Results: </strong>The mean age of the female cases (n=36) was 68.19± 6.71 and the male cases (n=5) was 61.0± 6.75. There were statistically significant differences in the TUG test (p</p> <p><strong>Conclusions and Implications: </strong>This study identified the presence of both intrinsic and extrinsic falls risk factors in subjects who sustained a low-trauma wrist fracture. Furthermore, 92% of the subjects required <strong>an </strong>intervention which they would not routinely have received, highlighting the increased health care needs of this cohort. The findings of this study could form the basis of the development of <strong>a </strong>targeted falls prevention screening tool and intervention programme for patients over 55 years of age patients who sustain a fragility fracture.</p> <p>MSc thesis : a thesis submitted for the degree of Master of Science (Research) from the Royal College of Surgeons in Ireland in 2012</p>
Keyword(s): Accidental Falls; Prevention and Control; Aged; Ireland; Medicine and Health Sciences
Publication Date:
2012
Type: Master thesis (research)
Peer-Reviewed: No
Institution: Royal College of Surgeons in Ireland
Citation(s): O'Reilly, C. Characterising falls risk factors and health care utilisation in patients with a low trauma wrist fracture attending a physiotherapy clinic. [MSc Thesis]. Dublin: Royal College of Surgeons in Ireland; 2012.
Supervisor(s): Dr Frances Horgan
Dr Alan Moore
Related Link(s): http://epubs.rcsi.ie/mscrestheses/24
First Indexed: 2015-07-31 15:36:59 Last Updated: 2015-07-31 15:55:35