Effectiveness of targeted falls prevention programme in subacute hospital setting : randomised controlled trial
Haines, Terry P., Bennell, Kim L., Osborne, Richard H. and Hill, Keith D. 2004, Effectiveness of targeted falls prevention programme in subacute hospital setting : randomised controlled trial, British Medical Journal, vol. 328, no. 7441, pp. 1-6.
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Objective : To assess the effectiveness of a targeted, multiple intervention falls prevention programme in reducing falls and injuries related to falls in a subacute hospital.
Design : Randomised controlled trial of a targeted multiple intervention programme implemented in addition to usual carecompared with usual care alone.
Setting :Three subacute wards in a metropolitan hospital specialising in rehabilitation and care of elderly patients.
Participants : 626 men and women aged 38 to 99 years (average 80 years) were recruited from consecutive admissions to subacute hospital wards.
Intervention : Falls risk alert card with information brochure, exercise programme, education programme, and hip protectors. Main outcome measures : Incidence rate of falls, injuries related to falls, and proportion of participants who experienced one or more falls during their stay in hospital. Results : Participants in the intervention group (n = 310) experienced 30% fewer falls than participants in the control group (n = 316). This difference was significant (Peto log rank test P = 0.045) and was most obvious after 45 days of observation. In the intervention group there was a trend for a reduction in the proportion of participants who experienced falls (relative risk 0.78, 95% confidence interval 0.56 to 1.06) and 28% fewer falls resulted in injury (log rank test P = 0.20).
Conclusions : A targeted multiple intervention falls prevention programme reduces the incidence of falls in the subacute hospital setting.
This article has been published in the BMJ : Haines, Terry P., Bennell, Kim L., Osborne, Richard H. and Hill, Keith D. 2004-03, Effectiveness of targeted falls prevention programme in subacute hospital setting : randomised controlled trial, British Medical Journal, vol. 328, no. 7441, pp. 1-6., and can also be viewed on the journal’s website at www.bmj.com
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