Fall Prevention in Residential Care

A Cluster, Randomized, Controlled Trial

1. Ngaire Kerse MBChB, PhD,
2. Meg Butler MPH,
3. Elizabeth Robinson MSc,
4. Maree Todd FRACP, MBChB

Article first published online: 30 MAR 2004

DOI: 10.1111/j.1532-5415.2004.52157.x

ABSTRACT:

Keywords:

• fall prevention;
• residential care;
• cluster randomized controlled trial

Objectives: To establish the effectiveness of a fall-prevention program in reducing falls and injurious falls in older residential care residents.

Design: Cluster, randomized, controlled trial.

Setting: Fourteen randomly selected residential care homes in Auckland, New Zealand.

Participants: All older residents (n=628, 95% participation rate).

Intervention: Residential care staff, using existing resources, implemented systematic individualized fall-risk management for all residents using a fall-risk assessment tool, high-risk logo, and strategies to address identified risks.

Measurements: Number of residents sustaining a fall, falls, and injurious-falls incidence rates.

Results: During 12 months of follow-up, 103 (43%) residents in the control group and 173 (56%) residents in the intervention group fell (P<.018). There was a significantly higher incidence rate of falls in intervention homes than in control homes (incident rate ratio=1.34, 95% confidence interval=1.06–1.72) during the intervention period after adjusting for dependency level (type of home), baseline fall rate, and clustering. There was no difference in the injurious fall incidence rate or incidence of serious injuries.

Conclusion: This fall-prevention intervention did not reduce falls or injury from falls. Low-intensity intervention may be worse than usual care.

Quelle:  http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52157.x/abstract

Full Text / pdf:

Kerse, N., Butler, M., Robinson, E. and Todd, M. (2004), Fall Prevention in Residential Care: A Cluster, Randomized, Controlled Trial. Journal of the American Geriatrics Society, 52: 524–531. doi: 10.1111/j.1532-5415.2004.52157.x

 http://ot.creighton.edu/community/EBLP/Question3/Kerse%202004%20Fall%20Prevention%20in%20Residential%20Care.pdf

Online im internet - Zugriff vom 04.10.2012


JÖRG LINDER AKTIV-TRAINING - www.aktiv-training.de
Ihr Personal Trainer für Sturz-Prävention und Social Health  in:  Baden-Baden, Bühl, Achern, Offenburg, Gengenbach, Freiburg, Rastattm Karlsruhe, Heidelberg, Stuttgart, Calw, Freudenstadt.

Social Health / individuelle Betreuung:

http://www.aktiv-training.de/social-health_aktiv-training.html

JÖRG LINDER AKTIV-TRAINING

Mauerbergstraße 110

76534 Baden-Baden

Tel.: 07223 / 8004699

Mobil: 0177 / 4977232

Mail: info@aktiv-training.de

Fax: 07223 / 8005271 

Prävention: www.preventex.de

Mobility-Walking: http://mobility-walking.blogspot.com
Personal Training: http://personal-training-karlsruhe.blogspot.com