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  • A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital staysCommentary

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A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital stays

https://doi.org/10.1136/ebn.11.4.120

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    R G Cumming

    Dr R G Cumming, Concord Hospital, Concord, New South Wales, Australia; bobc@health.usyd.edu.au

    QUESTION

    Does a tailored, multifactorial intervention prevent falls in elderly patients during short hospital stays?

    METHODS

    Design:

    cluster randomised controlled trial.

    Allocation:

    unclear allocation concealment.

    Blinding:

    unblinded.

    Follow-up period:

    during stay in study ward.

    Setting:

    24 elderly care wards in 12 hospitals in Sydney, New South Wales, Australia.

    Patients:

    3999 patients (mean age 79 y; 59% women; mean lengths of stay, acute wards 8.2 to 8.5 d, rehabilitation wards 16.5 to 16.8 d).

    Intervention:

    2047 patients in 12 wards received a multifactorial intervention delivered by a nurse and a physiotherapist. The intervention included a falls risk assessment, usually within 24 hours of admission; patient, family, and staff education from the nurse …

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    Footnotes

    • Source of funding: National Health and Medical Research Council of Australia Health Research Partnership Scheme.