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Effectiveness of a multifaceted intervention on falls in nursing home residents.
- Source :
-
Journal of the American Geriatrics Society [J Am Geriatr Soc] 2003 Mar; Vol. 51 (3), pp. 306-13. - Publication Year :
- 2003
-
Abstract
- Objectives: To evaluate the effectiveness of a multifaceted, nonpharmaceutical intervention on incidence of falls and fallers.<br />Design: Prospective, cluster-randomized, controlled 12-month trial.<br />Setting: Six community nursing homes in Germany.<br />Participants: Long-stay residents (n = 981) aged 60 and older; mean age 85; 79% female.<br />Interventions: Staff and resident education on fall prevention, advice on environmental adaptations, progressive balance and resistance training, and hip protectors.<br />Measurements: Falls, fallers, and fractures.<br />Results: The incidence density rate of falls per 1,000 resident years (RY) was 2,558 for the control group (CG) and 1,399 for the intervention group (IG) (relative risk (RR) = 0.55, 95% confidence interval (CI) = 0.41-0.73). Two hundred forty-seven (52.3%) fallers were detected in the CG and 188 (36.9%) in the IG (RR = 0.75, 95% CI = 0.57-0.98). The incidence density rate of frequent fallers (>2/year) was 115 (24.4%) for the CG and 66 (13.0%) for the IG (RR = 0.56, 95% CI = 0.35-0.89). The incidence density rate of hip fractures per 1,000 RY was 39 for the CG and 43 for the IG (RR = 1.11, 95% CI = 0.49-2.51). Other fractures were diagnosed with an incidence density rate of 52 per 1,000 RY for CG and 41 per 1,000 RY for IG (RR = 0.78, 95% CI = 0.57-1.07).<br />Conclusion: The incidence density rate of falls and fallers differed considerably between the control and intervention groups. The study was underpowered to demonstrate a significant difference of hip or nonhip fractures. Because of a low fracture rate in both groups, the investigation of fracture rates would have required a larger sample size to detect an effect of the intervention.
Details
- Language :
- English
- ISSN :
- 0002-8614
- Volume :
- 51
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 12588573
- Full Text :
- https://doi.org/10.1046/j.1532-5415.2003.51103.x