A randomized trial of a consultation service to reduce falls in nursing homes.
Context. - Falls are a major health problem in nursing homes, but no interventions have been shown to prevent falls in nursing home residents.
- To evaluate an intervention program designed to prevent falls and associated injuries in high-risk nursing home residents.
- Randomized controlled trial.
Setting and Particlpants
- Seven pairs of middle Tennessee nursing homes with 1 facility in each pair randomly assigned to the intervention.
Facilities had 482 (261 control, 221 intervention) residents who qualified for the study because they had high risk of falls and a potential safety problem that could be addressed by the intervention.
- Comprehensive structured individual assessment with specific safety recommendations that targeted suboptimal practices for environmental and personal safety, wheelchair use, psychotropic drug use, and transferring and ambulation.
Facility staff were encouraged to implement the individual recommendations and to improve overall facility safety.
Main Outcome Measures
- The mean proportion of recurrent fallers and incidence rate of injurious falls in the facility in the year following the intervention.
- The mean proportion of recurrent fallers in intervention facilities (43.8%) was 19.1% (95% confidence interval, 2.4% - 35.8%) lower than that in control facilities (54.1%, P=03).
Intervention facilities had a nonsignificant trend toward a lower mean rate of injurious falls (...)
Mots-clés Pascal : Traumatisme, Chute, Milieu hospitalier, Programme, Prévention, Homme, Evaluation performance, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Trauma, Fall, Hospital environment, Program, Prevention, Human, Performance evaluation, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0455572
Code Inist : 002B26N. Création : 03/02/1998.