A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments
MetadataShow full item record
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, The American Geriatrics Society.
Showing items related by title, author, creator and subject.
Validity of the Falls Risk for Older People in the Community (FROP-Com) tool to predict falls and fall injuries for older people presenting to the emergency department after fallingMascarenhas, M.; Hill, Keith; Barker, A.; Burton, Elissa (2019)© 2019, Springer Nature B.V. The aims of this study were to (1) externally validate the accuracy of the Falls Risk for Older People in the Community (FROP-Com) falls risk assessment tool in predicting falls and (2) undertake ...
Apikomonkon, Hataichanok (2003)Numerous Thai older people fall each year. Although it has been shown that only 3.1% of fallers sustained fractures (Nevitt, Cumming, Kidd, & Black, 1989), injuries in older people are often more serious. For example, ...
Tailored Education for Older Patients to Facilitate Engagement in Falls Prevention Strategies after Hospital Discharge: A Pilot Randomized Controlled TrialHill, Anne-Marie; Etherton-Beer, C.; Haines, T. (2013)Background: The aims of the study were to evaluate the effect of providing tailored falls prevention education in hospital on: i) engagement in targeted falls prevention behaviors in the month after discharge: ii) patients’ ...