Literature DB >> 8150304

Preventing falls among community-dwelling older persons: results from a randomized trial.

M C Hornbrook, V J Stevens, D J Wingfield, J F Hollis, M R Greenlick, M G Ory.   

Abstract

A randomized trial of falls prevention program that addressed home safety, exercise, and behavioral risks was conducted with 3,182 independently living HMO members age 65 and older. The intervention decreased the odds of falling by 0.85, but only reduced the average number of falls among those who fell by 7%. The effect was strongest among men age 75 and older. The likelihood of avoiding falls requiring medical treatment was not significantly affected by the intervention. We conclude that the intervention dose was not of sufficient intensity or duration to have a marked protective effect on older persons. Future research should focus on more intensive intervention approaches because serious falls do not appear to be amendable to low-intensity environment/behavioral efforts.

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Year:  1994        PMID: 8150304     DOI: 10.1093/geront/34.1.16

Source DB:  PubMed          Journal:  Gerontologist        ISSN: 0016-9013


  80 in total

Review 1.  Effects of preventive home visits to elderly people living in the community: systematic review.

Authors:  J C van Haastregt; J P Diederiks; E van Rossum; L P de Witte; H F Crebolder
Journal:  BMJ       Date:  2000-03-18

Review 2.  Exercise, mobility and aging.

Authors:  M J Daley; W L Spinks
Journal:  Sports Med       Date:  2000-01       Impact factor: 11.136

3.  Guidelines for the prevention of falls in people over 65. The Guidelines' Development Group.

Authors:  G Feder; C Cryer; S Donovan; Y Carter
Journal:  BMJ       Date:  2000-10-21

4.  A randomized controlled trial of a community-based consultation service to prevent falls.

Authors:  D B Hogan; F A MacDonald; J Betts; S Bricker; E M Ebly; B Delarue; T S Fung; C Harbidge; M Hunter; C J Maxwell; B Metcalf
Journal:  CMAJ       Date:  2001-09-04       Impact factor: 8.262

Review 5.  Exercise in the prevention of falls in older people: a systematic literature review examining the rationale and the evidence.

Authors:  N D Carter; P Kannus; K M Khan
Journal:  Sports Med       Date:  2001       Impact factor: 11.136

Review 6.  Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials.

Authors:  John T Chang; Sally C Morton; Laurence Z Rubenstein; Walter A Mojica; Margaret Maglione; Marika J Suttorp; Elizabeth A Roth; Paul G Shekelle
Journal:  BMJ       Date:  2004-03-20

Review 7.  Preventing falls and subsequent injury in older people.

Authors:  A Oakley; M F Dawson; J Holland; S Arnold; C Cryer; Y Doyle; J Rice; C R Hodgson; A Sowden; T Sheldon; D Fullerton; A M Glenny; A Eastwood
Journal:  Qual Health Care       Date:  1996-12

8.  Guidelines for conducting and reporting economic evaluation of fall prevention strategies.

Authors:  J C Davis; M C Robertson; T Comans; P A Scuffham
Journal:  Osteoporos Int       Date:  2010-11-23       Impact factor: 4.507

9.  Quantitative gait measurement with pulse-Doppler radar for passive in-home gait assessment.

Authors:  Fang Wang; Marjorie Skubic; Marilyn Rantz; Paul E Cuddihy
Journal:  IEEE Trans Biomed Eng       Date:  2014-04-23       Impact factor: 4.538

10.  Injury due to mechanical falls: future directions in gender-specific surveillance, screening, and interventions in emergency department patients.

Authors:  Marna R Greenberg; Bryan G Kane; Vicken Y Totten; Neha P Raukar; Elizabeth C Moore; Tracy Sanson; Robert D Barraco; Michael C Nguyen; Federico E Vaca
Journal:  Acad Emerg Med       Date:  2014-12       Impact factor: 3.451

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