Postoperative prevention of falls in older adults with fragility fractures.
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.
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.
Oddom
O
Demontiero
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.
Piumali
P
Gunawardene
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. Electronic address: gustavo.duque@sydney.edu.au.
Gustavo
G
Duque
D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D050723:Fractures, Bone / Q000517:prevention & control* / Q000601:surgery; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D011184:Postoperative Period; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D055502:Secondary Prevention
Falls; Falls prevention; Falls risk assessment; Fragility fracture; Older adults; Postoperative care; Sarcopenia; Secondary prevention of falls