Prevention of falls in nursing homes : subgroup analyses of a randomized fall prevention trial
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. ISSN 0002-8614Full text not available from this repository.
Official URL: http://dx.doi.org/10.1111/j.1532-5415.2008.01739.x
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 Medicine > Warwick Medical School > Health Sciences
Faculty of 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|
|Number of Pages:||6|
|Page Range:||pp. 1092-1097|
|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)|
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