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Effectiveness of targeted falls prevention programme in subacute hospital setting: Randomised controlled trial

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posted on 2004-03-20, 00:00 authored by T P Haines, K L Bennell, Richard Osborne, K D Hill
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 care compared 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.

History

Journal

British Medical Journal

Volume

328

Issue

7441

Pagination

676 - 679

ISSN

0959-8146

Publication classification

CN.1 Other journal article

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