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Evid Based Nurs 8:120 doi:10.1136/ebn.8.4.120
  • Treatment

A multifactorial intervention reduced the mean number of falls but not the proportion who fell in older people with recurrent falls


 
 Q What is the effectiveness of a multifactorial intervention to prevent falls in older people with recurrent falls?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (data collectors).

GraphicFollow up period:

1 year.

GraphicSetting:

accident and emergency departments (EDs) in a university teaching hospital and an affiliated district general hospital in the UK.

GraphicPatients:

313 patients >65 years of age (mean age 77 y, 72% women) who presented to an ED with a fall or fall related injury and had ⩾1 previous fall in the preceding year. Exclusion criteria included cognitive impairment (Mini Mental State Examination score <24), >1 previous episode of syncope, immobility, and clear medical explanation for falling.

GraphicIntervention:

a multifactorial intervention comprising hospital based medical assessment, home based physiotherapy and …

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