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Effect of a statewide fall prevention program on incidence of femoral fractures in residents of long-term care facilities
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Rapp, Kilian, Lamb, S. E. (Sallie E.), Erhardt-Beer, Luzia, Lindemann, Ulrich, Rissmann, Ulrich, Klenk, Jochen and Becker, Clemens. (2010) Effect of a statewide fall prevention program on incidence of femoral fractures in residents of long-term care facilities. Journal of the American Geriatrics Society, Vol.58 (No.1). pp. 70-75. ISSN 0002-8614
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Official URL: http://dx.doi.org/10.1111/j.1532-5415.2009.02630.x
Abstract
OBJECTIVES To evaluate the effect of a statewide dissemination of a modified evidence-based fall prevention program on incidence of femoral fractures in nursing homes. DESIGN Observational study of a staged implementation of a successful fall prevention program. SETTING One thousand three hundred fifty-nine nursing homes in two federal states in the south of Germany. PARTICIPANTS Nine thousand seventy-seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state. INTERVENTION Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year. MEASUREMENTS Incident femoral fractures. RESULTS One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person-years in residents from the intervention homes and 40.9 and 39.7/1,000 person-years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83-1.11) or from a different federal state (AHR=1.00, 95% CI=0.86-1.16). CONCLUSION The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Falls (Accidents) in old age -- Prevention, Femur -- Fractures -- Statistics, Nursing homes -- Safety measures |
| Journal or Publication Title: | Journal of the American Geriatrics Society |
| Publisher: | Wiley-Blackwell Publishing, Inc. |
| ISSN: | 0002-8614 |
| Date: | January 2010 |
| Volume: | Vol.58 |
| Number: | No.1 |
| Number of Pages: | 6 |
| Page Range: | pp. 70-75 |
| Identification Number: | 10.1111/j.1532-5415.2009.02630.x |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | Robert Bosch Stiftung [Robert Bosch Foundation] |
| URI: | http://wrap.warwick.ac.uk/id/eprint/16622 |
Data sourced from Thomson Reuters' Web of Knowledge
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