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Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials

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Hauer, Klaus, Lamb, Sallie E., Jorstad, Ellen C., Todd, Chris and Becker, Clemens (2006) Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age and Ageing, 35 (1). pp. 5-10. doi:10.1093/ageing/afi218 ISSN 0002-0729.

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Official URL: http://dx.doi.org/10.1093/ageing/afi218

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Abstract

Objective: To review systematically the range of case definitions and methods used to measure falls in randomised controlled trials. Design/methods: A Cochrane review of fall prevention interventions was used to identify fall definitions in published trials. Secondary searches of various databases were used to identify additional methodological or theoretical papers. Two independent reviewers undertook data extraction, with adjudication by a third reviewer in cases of disagreement. Settings: Community-dwelling and institutionalised older persons. Results: 90 publications met the predefined inclusion criteria. Of these, 44 provided no definition of the term fall. In the remainder, there were substantial variations in the definition and methods of measuring falls. Reporting periods ranged from 1 week to 4 years with only 41% using prospective data collection methods. Conclusion: The standard of reporting falls in published trials is poor and significantly impedes comparison between studies. The review has been used to inform an international consensus exercise to make recommendations for a core set of outcome measures for fall prevention trials. © The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Age and Ageing
Publisher: Oxford University Press
ISSN: 0002-0729
Official Date: 1 January 2006
Dates:
DateEvent
1 January 2006Published
Volume: 35
Number: 1
Page Range: pp. 5-10
DOI: 10.1093/ageing/afi218
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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