背景:佩戴髋关节保护器是一种用于防止跌倒引起的髋部骨折的措施。然而,其保护作用在以往的研究中仍存在争议.这项研究通过汇集所有当前的荟萃分析证据,为使用髋关节保护剂提供了理论依据。
方法:我们对目前所有关于髋关节保护剂在社区和/或机构中减少髋部骨折和跌倒的功效的荟萃分析文章进行了综述。主要数据库,包括EMBASE,科克伦图书馆,PubMed和WebofScience,被搜索到2022年6月。两名审稿人筛选了这些研究,提取数据,独立进行方法学质量评价。主要结果是关联统计(比值比(OR),相对风险(RR),等。)在荟萃分析中报告,与对照组相比,量化了干预措施对髋部骨折和跌倒的影响。还进行了叙事合成。森林地块和AMSTAR评分用于描述汇总文献的结果和质量,分别。
结果:本研究共纳入6篇meta分析文章。对于在机构(护理或住宿护理机构)但在社区中无效的老年人,髋部保护剂可有效减少髋部骨折(RR=0.70,95%CI0.58至0.85,I2=42%,P<0.001)(RR=1.12,95%CI0.94至1.34,I2=0%,P=0.20),它们没有减少跌倒(RR=1.01,95%CI0.90至1.13,I2=0%,P=0.89)。
结论:髋关节保护剂可有效预防住院老年人髋部骨折,但在社区居住的老年人中无效。
背景:本研究已在PROSPERO(PROSPEROID:CRD42022351773)中注册。
BACKGROUND: Wearing hip protectors is a measure used to prevent hip fractures caused by falls. However, its protective effect has remained controversial in previous studies. This study provides a rationale for the use of hip protectors by pooling all the current meta-analysis evidence.
METHODS: We conducted an umbrella review of all the current meta-analysis articles about the efficacy of hip protectors to reduce hip fractures and falls in communities and/or institutions. Major databases including EMBASE, Cochrane Library, PubMed and Web of Science, were searched up to June 2022. Two reviewers screened the studies, extracted the data, and conducted the methodological quality assessment independently. The primary outcome was the association statistic (odds ratio (OR), relative risk (RR), etc.) reported in the meta-analysis that quantified the influence of the intervention on hip fractures and falls compared to that of the control group. Narrative synthesis was also conducted. Forest plots and the AMSTAR score were used to describe the results and quality of the pooled literature, respectively.
RESULTS: A total of six meta-analysis articles were included in the study. Hip protectors were effective at reducing hip fractures in older individuals who were in institutions (nursing or residential care settings) but not in communities (RR = 0.70, 95% CI 0.58 to 0.85, I2 = 42%, P < 0.001) (RR = 1.12, 95% CI 0.94 to 1.34, I2 = 0%, P = 0.20), and they did not reduce falls (RR = 1.01, 95% CI 0.90 to 1.13, I2 = 0%, P = 0.89).
CONCLUSIONS: Hip protectors are effective at preventing hip fractures in institutionalized older adults but not in community-dwelling older adults.
BACKGROUND: This study has been registered in PROSPERO (PROSPERO ID: CRD42022351773).