OBJECTIVE: To investigate whether home visits by a occupational therapist reduces the risk of falling and improves the autonomy of older patients hospitalized for falling. DESIGN: In this randomized, controlled trial set in a geriatric hospital, 60 patients (mean age, 83.5 yr) who were hospitalized for falling were recruited from the acute medicine department. A home visit from an occupational therapist and an ergotherapist assessed patients' homes for environmental hazards and recommended modifications. The outcomes measured were falls, autonomy, hospitalization for falling, institutionalization, and death. RESULTS: During the follow-up period, the rate of falls, hospitalization for falls, institutionalization, and death were not significantly different between the two groups. Both groups had a loss of dependence at 12 mo. This loss of dependence was significant in the control group but not in the intervention group. CONCLUSIONS:Home visits from occupational therapists during hospitalization of older patients at risk for falling can help to preserve the patient's autonomy.
RCT Entities:
OBJECTIVE: To investigate whether home visits by a occupational therapist reduces the risk of falling and improves the autonomy of older patients hospitalized for falling. DESIGN: In this randomized, controlled trial set in a geriatric hospital, 60 patients (mean age, 83.5 yr) who were hospitalized for falling were recruited from the acute medicine department. A home visit from an occupational therapist and an ergotherapist assessed patients' homes for environmental hazards and recommended modifications. The outcomes measured were falls, autonomy, hospitalization for falling, institutionalization, and death. RESULTS: During the follow-up period, the rate of falls, hospitalization for falls, institutionalization, and death were not significantly different between the two groups. Both groups had a loss of dependence at 12 mo. This loss of dependence was significant in the control group but not in the intervention group. CONCLUSIONS: Home visits from occupational therapists during hospitalization of older patients at risk for falling can help to preserve the patient's autonomy.
Authors: Sarah E Lamb; Clemens Becker; Lesley D Gillespie; Jessica L Smith; Susanne Finnegan; Rachel Potter; Klaus Pfeiffer Journal: Trials Date: 2011-05-17 Impact factor: 2.279
Authors: Samantha Turner; Geri Arthur; Ronan A Lyons; Alison L Weightman; Mala K Mann; Sarah J Jones; Ann John; Simon Lannon Journal: Cochrane Database Syst Rev Date: 2011-02-16
Authors: Daniela C Gonçalves-Bradley; Natasha A Lannin; Lindy M Clemson; Ian D Cameron; Sasha Shepperd Journal: Cochrane Database Syst Rev Date: 2016-01-27
Authors: Daniel Liebzeit; Rachel Rutkowski; Alicia I Arbaje; Beth Fields; Nicole E Werner Journal: J Am Geriatr Soc Date: 2021-06-19 Impact factor: 7.538