Unknown

Dataset Information

0

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls.


ABSTRACT:

Objective

to determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.

Design

multicentre randomised controlled trial.

Setting

eight general practices and three day hospitals based in the East Midlands, UK.

Participants

three hundred and sixty-four participants, mean age 79 years, with a median of three falls risk factors per person at baseline.

Interventions

a day hospital-delivered multifactorial falls prevention programme, consisting of strength and balance training, a medical review and a home hazards assessment.

Main outcome measure

rate of falls over 12 months of follow-up, recorded using self-completed monthly diaries.

Results

one hundred and seventy-two participants in each arm contributed to the primary outcome analysis. The overall falls rate during follow-up was 1.7 falls per person-year in the intervention arm compared with 2.0 falls per person-year in the control arm. The stratum-adjusted incidence rate ratio was 0.86 (95% CI 0.73-1.01), P = 0.08, and 0.73 (95% CI 0.51-1.03), P = 0.07 when adjusted for baseline characteristics. There were no significant differences between the intervention and control arms in any secondary outcomes.

Conclusion

this trial did not conclusively demonstrate the benefit of a day hospital-delivered multifactorial falls prevention programme, in a population of older people identified as being at high risk of a future fall.

SUBMITTER: Conroy S 

PROVIDER: S-EPMC2956530 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature

altmetric image

Publications

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls.

Conroy Simon S   Kendrick Denise D   Harwood Rowan R   Gladman John J   Coupland Carol C   Sach Tracey T   Drummond Avril A   Youde Jane J   Edmans Judi J   Masud Tahir T  

Age and ageing 20100907 6


<h4>Objective</h4>to determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.<h4>Design</h4>multicentre randomised controlled trial.<h4>Setting</h4>eight general practices and three day hospitals based in the East Midlands, UK.<h4>Participants</h4>three hundred and sixty-four participants, mean age 79 years, with a median of three falls risk  ...[more]

Similar Datasets

| S-EPMC2956532 | biostudies-literature
| S-EPMC8649897 | biostudies-literature
| S-EPMC7360420 | biostudies-literature
| S-EPMC10255041 | biostudies-literature
| S-EPMC5556992 | biostudies-literature
| S-EPMC7456050 | biostudies-literature
| S-EPMC7780657 | biostudies-literature
| S-EPMC7477989 | biostudies-literature
| S-EPMC6902607 | biostudies-literature
| S-EPMC5840509 | biostudies-literature