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BMJ. Apr 4, 1992; 304(6831): 888–890.
PMCID: PMC1882829

Can health visitors prevent fractures in elderly people?

Abstract

OBJECTIVES--To assess whether intervention by a health visitor could reduce the number of fractures, over a four year period, in those aged 70 and over. DESIGN--Randomised, controlled trial; randomisation by household. SETTING--General practice in a market town. SUBJECTS--Of 863 patients aged 70 and over on the practice records, 674 were traced and successfully interviewed; 350 were assigned to the intervention group, 324 as controls. INTERVENTION--The people in the intervention group were allocated to the care of a health visitor. The approach was four pronged: assessment and correction of nutritional deficiencies, including reducing smoking and alcohol intake; assessment and referral of medical conditions such as heart block or inappropriate medication; assessment and correction of environmental hazards in the home such as poor lighting; assessment and improvement of fitness--for example, exercise classes for the moderately fit. The intervention continued for four years. MAIN OUTCOME MEASURE--Fracture rate over four years. RESULTS--The incidence of fractures was 5% (16/350) in the intervention group and 4% (14/324) in the control group (difference not significant). CONCLUSIONS--A health visitor visiting a group of people aged 70 and over and using simple preventive measures had no effect on the incidence of fractures.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Greatorex IF. Proximal femoral fractures: an assessment of the outcome of health care in elderly people. Community Med. 1988 Aug;10(3):203–210. [PubMed]
  • Lewis AF. Fracture of neck of the femur: changing incidence. Br Med J (Clin Res Ed) 1981 Nov 7;283(6301):1217–1220. [PMC free article] [PubMed]
  • Boyce WJ, Vessey MP. Rising incidence of fracture of the proximal femur. Lancet. 1985 Jan 19;1(8421):150–151. [PubMed]
  • Tulloch AJ, Moore V. A randomized controlled trial of geriatric screening and surveillance in general practice. J R Coll Gen Pract. 1979 Dec;29(209):733–740. [PMC free article] [PubMed]
  • Vetter NJ, Jones DA, Victor CR. Effect of health visitors working with elderly patients in general practice: a randomised controlled trial. Br Med J (Clin Res Ed) 1984 Feb 4;288(6414):369–372. [PMC free article] [PubMed]
  • Hendriksen C, Lund E, Strømgård E. Consequences of assessment and intervention among elderly people: a three year randomised controlled trial. Br Med J (Clin Res Ed) 1984 Dec 1;289(6457):1522–1524. [PMC free article] [PubMed]
  • Vetter NJ, Jones DA, Victor CR. A health visitor affects the problems others do not reach. Lancet. 1986 Jul 5;2(8497):30–32. [PubMed]
  • Prudham D, Evans JG. Factors associated with falls in the elderly: a community study. Age Ageing. 1981 Aug;10(3):141–146. [PubMed]

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