Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Geriatr Soc. 2010 Dec;58(12):2265-74. doi: 10.1111/j.1532-5415.2010.03191.x.

A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments.

Author information

  • 1Preventive and Public Health Division, National Ageing Research Institute, Parkville, Victoria, Australia. melissar@unimelb.edu.au

Abstract

OBJECTIVES:

To investigate the effect of a referral-based targeted multifactorial falls prevention intervention on the occurrence of recurrent falls and injuries in older people presenting to an emergency department (ED) after a fall and discharged directly home from the ED.

DESIGN:

Randomized controlled trial. Assessors of outcomes were unaware of group allocation.

SETTING:

Seven EDs in metropolitan Melbourne, Australia.

PARTICIPANTS:

Inclusion criteria were community dwelling, aged 60 and older, presenting to an ED after a fall, and discharged directly home. Exclusion criteria were unable to follow simple instructions or walk independently.

INTERVENTION:

Targeted referrals to existing community services and health promotion recommendations, based on the falls risk factors found in a baseline assessment.

MEASUREMENTS:

Primary outcome measures were falls and resultant injuries occurring over the 12-month follow-up period. Falls and injury data were collected using falls calendars supported by medical record reviews.

RESULTS:

Three hundred sixty-one participants were randomized to the standard care group and 351 to the intervention group. No significant difference was found between the two groups over the 12-month follow-up period in number of fallers (relative risk (RR)=1.11, 95% confidence interval (CI)=0.95-1.31] or number of participants sustaining an injury from a fall (RR=1.06, 95% CI=0.86-1.29).

CONCLUSION:

This study does not support the use of a referral-based targeted multifactorial intervention program to reduce subsequent falls or fall injuries in older people who present to an ED after a fall.

© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.

PMID:
21143436
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing
    Loading ...
    Write to the Help Desk