• J Am Geriatr Soc · Dec 2010

    Randomized Controlled Trial Multicenter Study

    A randomized controlled trial of a multifactorial falls prevention intervention for older fallers presenting to emergency departments.

    • Melissa A Russell, Keith D Hill, Lesley M Day, Irene Blackberry, Jenny Schwartz, Melita J Giummarra, Michael Dorevitch, Joseph E Ibrahim, Andrew C Dalton, and Shyamali C Dharmage.
    • Preventive and Public Health Division, National Ageing Research Institute, Parkville, Victoria, Australia. melissar@unimelb.edu.au
    • J Am Geriatr Soc. 2010 Dec 1;58(12):2265-74.

    ObjectivesTo investigate the effect of a referral-based targeted multifactorial falls prevention intervention on the occurrence of recurrent falls and injuries in older people presenting to an emergency department (ED) after a fall and discharged directly home from the ED.DesignRandomized controlled trial. Assessors of outcomes were unaware of group allocation.SettingSeven EDs in metropolitan Melbourne, Australia.ParticipantsInclusion criteria were community dwelling, aged 60 and older, presenting to an ED after a fall, and discharged directly home. Exclusion criteria were unable to follow simple instructions or walk independently.InterventionTargeted referrals to existing community services and health promotion recommendations, based on the falls risk factors found in a baseline assessment.MeasurementsPrimary outcome measures were falls and resultant injuries occurring over the 12-month follow-up period. Falls and injury data were collected using falls calendars supported by medical record reviews.ResultsThree hundred sixty-one participants were randomized to the standard care group and 351 to the intervention group. No significant difference was found between the two groups over the 12-month follow-up period in number of fallers (relative risk (RR)=1.11, 95% confidence interval (CI)=0.95-1.31] or number of participants sustaining an injury from a fall (RR=1.06, 95% CI=0.86-1.29).ConclusionThis study does not support the use of a referral-based targeted multifactorial intervention program to reduce subsequent falls or fall injuries in older people who present to an ED after a fall.© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.

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