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

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R G Cumming

Dr R G Cumming, Concord Hospital, Concord, New South Wales, Australia;


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



cluster randomised controlled trial.


unclear allocation concealment.



Follow-up period:

during stay in study ward.


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


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).


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