M Berggren1, M Stenvall, B Olofsson, Y Gustafson. 1. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, 901 87 Umeå, Sweden. monica.langstrom@germed.umu.se
Abstract
UNLABELLED: A randomized, controlled fall-prevention study including 199 patients operated on for femoral neck fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone old people. INTRODUCTION: This study evaluates whether a postoperative multidisciplinary, multifactorial fall-prevention program performed by a geriatric team that reduced inpatient falls and injuries had any continuing effect after discharge. The intervention consisted of staff education, systematic assessment and treatment of fall risk factors and vitamin D and calcium supplementation. METHODS: The randomized, controlled trial with a one-year follow-up at Umeå University Hospital, Sweden, included 199 patients operated on for femoral neck fracture, aged > or = 70 years. RESULTS: After one year 44 participants had fallen 138 times in the intervention group compared with 55 participants and 191 falls in the control group. The crude postoperative fall incidence was 4.16/1,000 days in the intervention group vs. 6.43/1,000 days in the control group. The incidence rate ratio was 0.64 (95% CI: 0.40-1.02, p = 0.063). Seven new fractures occurred in the intervention group and 11 in the control group. CONCLUSION: A team applying comprehensive geriatric assessment and rehabilitation, including prevention and treatment of fall-risk factors, reduced inpatient falls and injuries, but no statistically significant effects of the program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone elderly.
RCT Entities:
UNLABELLED: A randomized, controlled fall-prevention study including 199 patients operated on for femoral neck fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone old people. INTRODUCTION: This study evaluates whether a postoperative multidisciplinary, multifactorial fall-prevention program performed by a geriatric team that reduced inpatient falls and injuries had any continuing effect after discharge. The intervention consisted of staff education, systematic assessment and treatment of fall risk factors and vitamin D and calcium supplementation. METHODS: The randomized, controlled trial with a one-year follow-up at Umeå University Hospital, Sweden, included 199 patients operated on for femoral neck fracture, aged > or = 70 years. RESULTS: After one year 44 participants had fallen 138 times in the intervention group compared with 55 participants and 191 falls in the control group. The crude postoperative fall incidence was 4.16/1,000 days in the intervention group vs. 6.43/1,000 days in the control group. The incidence rate ratio was 0.64 (95% CI: 0.40-1.02, p = 0.063). Seven new fractures occurred in the intervention group and 11 in the control group. CONCLUSION: A team applying comprehensive geriatric assessment and rehabilitation, including prevention and treatment of fall-risk factors, reduced inpatient falls and injuries, but no statistically significant effects of the program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone elderly.
Authors: Michael Stenvall; Eva Elinge; Petra von Heideken Wågert; Maria Lundström; Yngve Gustafson; Lars Nyberg Journal: Age Ageing Date: 2005-05 Impact factor: 10.668
Authors: Cathleen Colón-Emeric; Maragatha Kuchibhatla; Carl Pieper; William Hawkes; Lisa Fredman; Jay Magaziner; Sheryl Zimmerman; Kenneth W Lyles Journal: Osteoporos Int Date: 2003-10-03 Impact factor: 4.507
Authors: M Stenvall; B Olofsson; M Lundström; U Englund; B Borssén; O Svensson; L Nyberg; Y Gustafson Journal: Osteoporos Int Date: 2006-10-24 Impact factor: 4.507
Authors: Natalie E Leland; Pedro Gozalo; Julie Bynum; Vincent Mor; Thomas J Christian; Joan M Teno Journal: J Am Med Dir Assoc Date: 2015-05-02 Impact factor: 4.669
Authors: D Marsh; K Akesson; D E Beaton; E R Bogoch; S Boonen; M-L Brandi; A R McLellan; P J Mitchell; J E M Sale; D A Wahl Journal: Osteoporos Int Date: 2011-05-24 Impact factor: 4.507
Authors: L J Melton; A E Kearns; E J Atkinson; M E Bolander; S J Achenbach; J M Huddleston; T M Therneau; C L Leibson Journal: Osteoporos Int Date: 2008-09-17 Impact factor: 4.507