The Library
Prevention of falls in nursing homes : subgroup analyses of a randomized fall prevention trial
Tools
Tools
Tools
Rapp, Kilian, Lamb, S. E. (Sallie E.), Buechele, Gisela, Lall, Ranjit, Lindemann, Ulrich and Becker, Clemens (2008) Prevention of falls in nursing homes : subgroup analyses of a randomized fall prevention trial. Journal of the American Geriatrics Society, Vol.56 (No.6). pp. 1092-1097. doi:10.1111/j.1532-5415.2008.01739.x ISSN 0002-8614.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1111/j.1532-5415.2008.01739.x
Abstract
OBJECTIVES: To evaluate the effectiveness of a multifactorial fall prevention program in prespecified subgroups of nursing home residents.
DESIGN: Secondary analysis of a cluster-randomized, controlled trial.
SETTING: Six nursing homes in Germany.
PARTICIPANTS: Seven hundred twenty-five long-stay residents; median age 86; 80% female.
INTERVENTION: Staff and resident education on fall prevention, advice on environmental adaptations, recommendation to wear hip protectors, and progressive balance and resistance training.
MEASUREMENTS: Time to first fall and the number of falls. Falls were assessed during the 12-month intervention period. Univariate regression analyses were performed, including a confirmatory test of interaction.
RESULTS: The intervention was more effective in people with cognitive impairment (hazard ratio (HR)=0.49, 95% confidence interval (CI)=0.35-0.69) than in those who were cognitively intact (HR=0.91, 95% CI=0.68-1.22), in people with a prior history of falls (HR=0.47, 95% CI=0.33-0.67) than in those with no prior fall history (HR=0.77, 95% CI=0.58-1.01), in people with urinary incontinence (HR=0.59, 95% CI=0.45-0.77) than in those with no urinary incontinence (HR=0.98, 95% CI=0.68-1.42), and in people with no mood problems (incidence rate ratio (IRR)=0.41, 95% CI=0.27-0.61) than in those with mood problems (IRR=0.74, 95% CI=0.51-1.09).
CONCLUSION: The effectiveness of a multifactorial fall prevention program differed between subgroups of nursing home residents. Cognitive impairment, a history of falls, urinary incontinence, and depressed mood were important in determining response.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Library of Congress Subject Headings (LCSH): | Falls (Accidents) in old age -- Prevention, Nursing homes -- Safety measures, Nursing homes -- Safety regulations -- Germany | ||||
| Journal or Publication Title: | Journal of the American Geriatrics Society | ||||
| Publisher: | Blackwell Publishing | ||||
| ISSN: | 0002-8614 | ||||
| Official Date: | June 2008 | ||||
| Dates: |
|
||||
| Volume: | Vol.56 | ||||
| Number: | No.6 | ||||
| Number of Pages: | 6 | ||||
| Page Range: | pp. 1092-1097 | ||||
| DOI: | 10.1111/j.1532-5415.2008.01739.x | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Germany. Bundesministerium für Gesundheit [German Federal Ministry for Health] (BMG), Baden-Württemberg (Germany). Sozialministerium [State Ministry of Social Affairs] (BWS), Universität Ulm [University of Ulm] (Germany), Stadtverwaltung Ulm [Ulm City Council] (Germany), Bethesda Geriatrische Klinik [Bethesda Geriatric Clinic], Robert Bosch Stiftung [Robert Bosch Foundation] (Germany) | ||||
| Grant number: | Va4-43164-1/403 (BMG), 44-5276-79 (BWS) |
Data sourced from Thomson Reuters' Web of Knowledge
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
