OBJECTIVE: to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN: cluster-randomised controlled 12-month trial. SETTING: psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS: psychogeriatric nursing home patients (n = 518). INTERVENTION: a general medical assessment and an additional specific fall risk evaluation tool, applied by a multidisciplinary fall prevention team, resulting in general and individual fall prevention activities. MEASUREMENTS: falls. RESULTS: there were 355 falls in 169.5 patient-years (2.09 falls per patient per year) in the intervention group and 422 falls in 166.3 patient-years (2.54 falls per patient per year) in the control group. Intention-to-treat analysis with adjustment for ward-related and patient-related parameters, and intra-cluster correlation, showed that the intervention group had a significantly lower mean fall incidence rate than the control group (rate ratio = 0.64, 95% CI = 0.43-0.96, P = 0.029). Subgroup analyses showed that fall risk declined further as patients participated longer in the intervention programme. CONCLUSION: the introduction of a structured multifactorial intervention to prevent falls in psychogeriatric nursing home patients significantly reduces the number of falls. This reduction is substantial and of high clinical relevance.
RCT Entities:
OBJECTIVE: to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN: cluster-randomised controlled 12-month trial. SETTING: psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS: psychogeriatric nursing home patients (n = 518). INTERVENTION: a general medical assessment and an additional specific fall risk evaluation tool, applied by a multidisciplinary fall prevention team, resulting in general and individual fall prevention activities. MEASUREMENTS: falls. RESULTS: there were 355 falls in 169.5 patient-years (2.09 falls per patient per year) in the intervention group and 422 falls in 166.3 patient-years (2.54 falls per patient per year) in the control group. Intention-to-treat analysis with adjustment for ward-related and patient-related parameters, and intra-cluster correlation, showed that the intervention group had a significantly lower mean fall incidence rate than the control group (rate ratio = 0.64, 95% CI = 0.43-0.96, P = 0.029). Subgroup analyses showed that fall risk declined further as patients participated longer in the intervention programme. CONCLUSION: the introduction of a structured multifactorial intervention to prevent falls in psychogeriatric nursing home patients significantly reduces the number of falls. This reduction is substantial and of high clinical relevance.
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: Gert-Jan van der Putten; Jan Mulder; Cees de Baat; Luc M J De Visschere; Jacques N O Vanobbergen; Jos M G A Schols Journal: Clin Oral Investig Date: 2012-07-28 Impact factor: 3.573
Authors: Cathleen S Colón-Emeric; Kirsten Corazzini; Eleanor S McConnell; Wei Pan; Mark Toles; Rasheeda Hall; Michael P Cary; Melissa Batchelor-Murphy; Tracey Yap; Amber L Anderson; Andrew Burd; Sathya Amarasekara; Ruth A Anderson Journal: JAMA Intern Med Date: 2017-11-01 Impact factor: 21.873
Authors: Carolyn S Sterke; Gijsbertus Ziere; Ed F van Beeck; Caspar W N Looman; Tischa J M van der Cammen Journal: Br J Clin Pharmacol Date: 2012-05 Impact factor: 4.335
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: Adam L Gordon; Phillipa A Logan; Rob G Jones; Calum Forrester-Paton; Jonathan P Mamo; John R F Gladman Journal: BMC Geriatr Date: 2012-06-25 Impact factor: 3.921