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Falls Clinics: an opportunity to address frailty and improve health outcomes (preliminary evidence)
- Source :
- Aging Clinical and Experimental Research. 22:170-174
- Publication Year :
- 2010
- Publisher :
- Springer Science and Business Media LLC, 2010.
-
Abstract
- Background and aim: Currently the operational model of a Falls Clinic is not clearly defined making it difficult to assess outcomes. Predominantly referrals are for older, frail adults and while there is merit in current interventions prescribed the effect on falls and other outcomes over time are unclear. The aim of this pilot study is to describe 12 month health outcomes of community-dwelling older adults who have attended a multi-disciplinary Falls Clinic. Methods: A sequential sample of 90 community-dwelling older adults (≥65 years) attending a Falls and Injury Risk Assessment Clinic between April and October 2001 was followed-up at 12 months. Outcomes included grip strength, Timed-Up and Go, body weight, number of fallers, and change in accommodation. Data are summarised as mean (SD) and n (%) with change over time tested using paired sample t-tests (continuous data) and chi-square (categorical data). Results: Sixty-five participants were available at 12 months. Mean (SD) age of participants was 80 (6) years and 30 of 65 (46%) were males. At 12 months, 62 (96%) remained in the same accommodation, 37 out of 65 (57%) reported >1 fall in the previous year, compared to 72% (n=47) on average at baseline (p=0.21). Grip strength (p=0.006), TUG (p=0.001) and body weight (p=0.033) all declined between baseline and 12 months. Conclusions: This pilot study found a trend for reduction in falls, but this was accompanied with a significant decline in measures of frailty, including outcomes of nutritional status, strength and mobility. Evaluation of more targeted multi-disciplinary frailty interventions in this at risk group are required. Refereed/Peer-reviewed
- Subjects :
- Male
Gerontology
Sarcopenia
Aging
medicine.medical_specialty
Time Factors
Frail Elderly
Psychological intervention
Poison control
Pilot Projects
frailty
Health outcomes
Risk Assessment
Suicide prevention
Occupational safety and health
Grip strength
falls
Injury prevention
Humans
Medicine
Aged
function
Hand Strength
business.industry
Body Weight
Human factors and ergonomics
aged
nutrition
Accidents, Home
Physical therapy
Accidental Falls
Female
Geriatrics and Gerontology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 17208319 and 15940667
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Aging Clinical and Experimental Research
- Accession number :
- edsair.doi.dedup.....f0c00b8c9a7d51be6a617ce81cfc012a