Anne-Marie Hill1, Steven M McPhail2,3, Terry P Haines4, Meg E Morris5, Christopher Etherton-Beer6, Ronald Shorr7,8, Leon Flicker6, Max Bulsara9, Nicholas Waldron10, Den-Ching A Lee4, Jacqueline Francis-Coad11, Amanda Boudville12. 1. School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia. 2. School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia. 3. Centre for Functioning and Health Research, Metro South Health, Buranda, Queensland, Australia. 4. School of Primary and Allied Health Care, Monash University, Clayton, Victoria, Australia. 5. Healthscope and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Bundoora, Victoria, Australia. 6. Western Australian Centre for Health & Ageing, Medical School, University of Western Australia, Crawley, Western Australia, Australia. 7. Malcom Randall VA Medical Center, Geriatric Research Education and Clinical Center (GRECC), Gainesville, Florida. 8. College of Medicine, University of Florida, Gainesville. 9. Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia. 10. Department of Aged Care and Rehabilitation, Armadale Kelmscott Memorial Hospital, East Metropolitan Health Service, Armadale, Western Australia, Australia. 11. School of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia. 12. Department of Aged Care and Rehabilitation, St John of God Midland Public and Private Hospital, Midland, Western Australia, Australia.
Abstract
BACKGROUND:Older people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older people after hospital discharge compared to providing a social intervention in addition to usual care. METHODS: A randomized clinical trial at three hospitals in Western Australia: participants followed for 6 months after discharge. Baseline and outcomes measured by assessors masked to group allocation. Participants: aged 60 years and over, admitted for rehabilitation. Eligibility included: cognitively able to undertake education (Abbreviated mental test score >7/10). Intervention: tailored education comprising patient video and workbook, structured discussion and goal setting led by trained therapist. Main outcomes: falls in the 6 months after discharge; proportion of participants sustaining one or more falls. RESULTS:There were 382 (194 intervention; 188 control) participants (mean age 77.7 [SD 8.7] years). There were 378 falls (fall rate per 1,000 patient-days, 5.9 intervention; 5.9 control) reported by 164 (42.9%) participants in the 6 months following hospital discharge; 188 (49.7%) of these falls were injurious. There were no significant differences in falls rates between intervention and control groups: (adjusted IRR, 1.09; 95% CI [0.78 to 1.52]) or the proportion of participants who fell once or more (adjusted OR, 1.37; 95% CI [0.90 to 2.07]). CONCLUSIONS: Providing individualized falls prevention education prior to discharge did not reduce falls at home after discharge. Further research is warranted to investigate how to reduce falls during this high-risk transition period.
RCT Entities:
BACKGROUND: Older people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older people after hospital discharge compared to providing a social intervention in addition to usual care. METHODS: A randomized clinical trial at three hospitals in Western Australia: participants followed for 6 months after discharge. Baseline and outcomes measured by assessors masked to group allocation. Participants: aged 60 years and over, admitted for rehabilitation. Eligibility included: cognitively able to undertake education (Abbreviated mental test score >7/10). Intervention: tailored education comprising patient video and workbook, structured discussion and goal setting led by trained therapist. Main outcomes: falls in the 6 months after discharge; proportion of participants sustaining one or more falls. RESULTS: There were 382 (194 intervention; 188 control) participants (mean age 77.7 [SD 8.7] years). There were 378 falls (fall rate per 1,000 patient-days, 5.9 intervention; 5.9 control) reported by 164 (42.9%) participants in the 6 months following hospital discharge; 188 (49.7%) of these falls were injurious. There were no significant differences in falls rates between intervention and control groups: (adjusted IRR, 1.09; 95% CI [0.78 to 1.52]) or the proportion of participants who fell once or more (adjusted OR, 1.37; 95% CI [0.90 to 2.07]). CONCLUSIONS: Providing individualized falls prevention education prior to discharge did not reduce falls at home after discharge. Further research is warranted to investigate how to reduce falls during this high-risk transition period.
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Authors: Chiara Naseri; Steven M McPhail; Terry P Haines; Meg E Morris; Ronald Shorr; Christopher Etherton-Beer; Julie Netto; Leon Flicker; Max Bulsara; Den-Ching A Lee; Jacqueline Francis-Coad; Nicholas Waldron; Amanda Boudville; Anne-Marie Hill Journal: Health Soc Care Community Date: 2020-04-26
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