Effectiveness of a Multifaceted Intervention on Falls in Nursing Home Residents

OBJECTIVES:   To evaluate the effectiveness of a multifaceted, nonpharmaceutical intervention on incidence of falls and fallers.

[1]  N. Kerse,et al.  Fall Prevention in Residential Care: A Cluster, Randomized, Controlled Trial , 2004, Journal of the American Geriatrics Society.

[2]  Lindy Clemson,et al.  The Effectiveness of a Community‐Based Program for Reducing the Incidence of Falls in the Elderly: A Randomized Trial , 2004, Journal of the American Geriatrics Society.

[3]  M. Mcmurdo,et al.  Controlled trial of weight bearing exercise in older women in relation to bone density and falls , 1997, BMJ.

[4]  Stephen R Lord,et al.  Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. , 2003, Age and ageing.

[5]  P Kannus,et al.  Prevention of hip fracture in elderly people with use of a hip protector. , 2000, The New England journal of medicine.

[6]  Allan Donner,et al.  Design and Analysis of Cluster Randomization Trials in Health Research , 2001 .

[7]  J. Hollis,et al.  Preventing falls among community-dwelling older persons: results from a randomized trial. , 1994, The Gerontologist.

[8]  K. Hauer,et al.  Exercise Training for Rehabilitation and Secondary Prevention of Falls in Geriatric Patients with a History of Injurious Falls , 2001, Journal of the American Geriatrics Society.

[9]  L. D. de Witte,et al.  Effects of a programme of multifactorial home visits on falls and mobility impairments in elderly people at risk: randomised controlled trial , 2000, BMJ : British Medical Journal.

[10]  D Osterweil,et al.  Falls and fall prevention in the nursing home. , 1996, Clinics in geriatric medicine.

[11]  J. W. Ryan,et al.  Implementing strategies to decrease risk of falls in older women. , 1996, Journal of gerontological nursing.

[12]  Nancye Peel,et al.  A sustainable programme to prevent falls and near falls in community dwelling older people: results of a randomised trial , 2000, Journal of epidemiology and community health.

[13]  M. Tinetti,et al.  The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. , 1995, JAMA.

[14]  P. Crome,et al.  Older people and falls: a randomized controlled trial of a health visitor (HV) intervention , 2001 .

[15]  S. Lord,et al.  Effects of Shoe Collar Height and Sole Hardness on Balance in Older Women , 1999, Journal of the American Geriatrics Society.

[16]  Rose Anne Kenny,et al.  Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: randomised controlled trial , 2003, BMJ : British Medical Journal.

[17]  A. Campbell,et al.  Psychotropic Medication Withdrawal and a Home‐Based Exercise Program to Prevent Falls: A Randomized, Controlled Trial , 1999, Journal of the American Geriatrics Society.

[18]  J. Nitz,et al.  The efficacy of a specific balance-strategy training programme for preventing falls among older people: a pilot randomised controlled trial. , 2004, Age and ageing.

[19]  J. Marley,et al.  A randomised controlled trial of the outcome of health assessment of people aged 75 years and over , 2001, The Medical journal of Australia.

[20]  A. Thevenon,et al.  Effects of physical training on the physical capacity of frail, demented patients with a history of falling: a randomised controlled trial. , 2003, Age and ageing.

[21]  Cameron Swift,et al.  Prevention of falls in the elderly trial (PROFET): a randomised controlled trial , 1999, The Lancet.

[22]  Michael Leathley,et al.  Evaluation of a nurse-led falls prevention programme versus usual care: a randomized controlled trial. , 2002, Age and ageing.

[23]  G E Dallal,et al.  Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. , 1997, The New England journal of medicine.

[24]  L. Rubenstein,et al.  Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[25]  G. Acton,et al.  Effectiveness of home visit falls prevention strategy for Taiwanese community-dwelling elders: randomized trial. , 2004, Public health nursing.

[26]  G. Guyatt,et al.  The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. , 1985, Canadian Medical Association journal.

[27]  S. Wolf,et al.  Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training , 1996, Journal of the American Geriatrics Society.

[28]  R. Blanks,et al.  The effect of a multidimensional exercise program on strength, range of motion, balance and gait in the well elderly , 1998 .

[29]  Steady As You Go (SAYGO): A Falls-Prevention Program for Seniors Living in the Community* , 2003, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[30]  M. Tinetti,et al.  Development of the Common Data Base for the FICSIT Trials , 1993, Journal of the American Geriatrics Society.

[31]  Greg Maislin,et al.  Physical Restraint Use and Falls in Nursing Home Residents , 1996, Journal of the American Geriatrics Society.

[32]  H. Bischoff,et al.  Alfacalcidol Reduces the Number of Fallers in a Community‐Dwelling Elderly Population with a Minimum Calcium Intake of More Than 500 Mg Daily , 2004, Journal of the American Geriatrics Society.

[33]  R. Harwood,et al.  A randomised, controlled comparison of different calcium and vitamin D supplementation regimens in elderly women after hip fracture: The Nottingham Neck of Femur (NONOF) Study. , 2004, Age and ageing.

[34]  W C Hayes,et al.  Energy-shunting hip padding system attenuates femoral impact force in a simulated fall. , 1995, Journal of biomechanical engineering.

[35]  François Duboeuf,et al.  Vitamin D3 and Calcium to Prevent Hip Fractures in Elderly Women , 1992 .

[36]  A. Sommer,et al.  The prevalence of blindness and visual impairment among nursing home residents in Baltimore. , 1995, The New England journal of medicine.

[37]  S B Roberts,et al.  Exercise training and nutritional supplementation for physical frailty in very elderly people. , 1994, The New England journal of medicine.

[38]  S. Jitapunkul.  A randomised controlled trial of regular surveillance in Thai elderly using a simple questionnaire administered by non-professional personnel. , 1998, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[39]  D A Streit,et al.  The Penn State Safety Floor: Part II--Reduction of fall-related peak impact forces on the femur. , 1998, Journal of biomechanical engineering.

[40]  H. Payette,et al.  Randomized clinical trial of nutritional supplementation shows little effect on functional status among free-living frail elderly. , 1995, The Journal of nutrition.

[41]  D. Bunout,et al.  Results of a community-based weight-bearing resistance training programme for healthy Chilean elderly subjects. , 2005, Age and ageing.

[42]  K. Michaëlsson,et al.  External hip protectors to prevent osteoporotic hip fractures , 1997, The Lancet.

[43]  C. Alessi,et al.  Does an Exercise and Incontinence Intervention Save Healthcare Costs in a Nursing Home Population? , 2003, Journal of the American Geriatrics Society.

[44]  A R Levy,et al.  A randomized trial of identification bracelets to prevent falls among patients in a rehabilitation hospital. , 1994, Archives of physical medicine and rehabilitation.

[45]  B E Fries,et al.  Development of the nursing home Resident Assessment Instrument in the USA. , 1997, Age and ageing.

[46]  D. Kiel,et al.  Identifying Nursing Home Residents at Risk for Falling , 1998, Journal of the American Geriatrics Society.

[47]  L. Buettner.  Focus on caregiving. Falls prevention in dementia populations. , 2002, Provider.

[48]  P. Knipschild,et al.  Effects of preventive home visits to elderly people. , 1993, BMJ.

[49]  C. Mulrow,et al.  A randomized trial of physical rehabilitation for very frail nursing home residents. , 1994, JAMA.

[50]  L. Gillespie,et al.  Hip protectors for preventing hip fractures in the elderly. , 2001, The Cochrane database of systematic reviews.

[51]  E H Wagner,et al.  The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. , 1997, The journals of gerontology. Series A, Biological sciences and medical sciences.

[52]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[53]  O. Beauchet,et al.  [Effectiveness of falls prevention strategies for elderly subjects who live in the community with performance assessment of physical activities (before-after)]. , 2002, Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique.

[54]  Yoshihiro Sato,et al.  Amelioration of osteopenia and hypovitaminosis D by 1α-hydroxyvitamin D3 in elderly patients with Parkinson’s disease , 1999, Journal of neurology, neurosurgery, and psychiatry.

[55]  Ack,et al.  LOWER-EXTREMITY FUNCTION IN PERSONS OVER THE AGE OF 70 YEARS AS A PREDICTOR OF SUBSEQUENT DISABILITY , 2001 .

[56]  M. Nowalk,et al.  A Randomized Trial of Exercise Programs Among Older Individuals Living in Two Long‐Term Care Facilities: The FallsFREE Program , 2001, Journal of the American Geriatrics Society.

[57]  S. Ebrahim,et al.  Randomized placebo-controlled trial of brisk walking in the prevention of postmenopausal osteoporosis. , 1997, Age and ageing.

[58]  Nancy Devlin,et al.  Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial , 2001, BMJ : British Medical Journal.

[59]  C. Maxwell,et al.  A randomized controlled trial of a community-based consultation service to prevent falls. , 2001, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[60]  R A Kenny,et al.  Carotid sinus syndrome: a modifiable risk factor for nonaccidental falls in older adults (SAFE PACE). , 2001, Journal of the American College of Cardiology.

[61]  I. Donald,et al.  Preventing falls on an elderly care rehabilitation ward , 2000, Clinical rehabilitation.

[62]  Fergus Daly,et al.  A Randomized Controlled Trial of Fall Prevention Strategies in Old Peoples’ Homes , 2000, Gerontology.

[63]  F Duboeuf,et al.  Vitamin D3 and calcium to prevent hip fractures in elderly women. , 1992, The New England journal of medicine.

[64]  Elaine M. Gallagher,et al.  Head Over Heels: Impact of a Health Promotion Program to Reduce Falls in the Elderly , 1996, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[65]  R Tideiksaar,et al.  Falls prevention: the efficacy of a bed alarm system in an acute-care setting. , 1993, The Mount Sinai journal of medicine, New York.

[66]  Michael Fitzharris,et al.  Randomised factorial trial of falls prevention among older people living in their own homes , 2002, BMJ : British Medical Journal.

[67]  C D Holman,et al.  Preventing Falls in Older People: Outcome Evaluation of a Randomized Controlled Trial , 2001, Journal of the American Geriatrics Society.

[68]  C. Becker,et al.  The other side of hip protectors. , 2000, Age and ageing.

[69]  M A Province,et al.  The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. , 1995, JAMA.

[70]  Lalit Kalra,et al.  A Randomized Controlled Trial of an Enhanced Balance Training Program to Improve Mobility and Reduce Falls in Elderly Patients , 2003, Journal of the American Geriatrics Society.

[71]  Lillemor Lundin-Olsson,et al.  Fall and Injury Prevention in Older People Living in Residential Care Facilities: A Cluster Randomized Trial , 2002, Annals of Internal Medicine.

[72]  M. Crotty,et al.  Evidence-based clinical practice in falls prevention: a randomised controlled trial of a falls prevention service. , 2003, Australian health review : a publication of the Australian Hospital Association.

[73]  R. Lew,et al.  Effects of Vitamin D and Calcium Supplementation on Falls: A Randomized Controlled Trial , 2003, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[74]  M. Crotty,et al.  An outreach intervention to implement evidence based practice in residential care: a randomized controlled trial [ISRCTN67855475] , 2004, BMC health services research.

[75]  G. Carpenter,et al.  Screening the elderly in the community: controlled trial of dependency surveillance using a questionnaire administered by volunteers. , 1990, BMJ.

[76]  Shuichi Obuchi,et al.  New Intervention Program for Preventing Falls Among Frail Elderly People: The Effects of Perturbed Walking Exercise Using a Bilateral Separated Treadmill , 2004, American journal of physical medicine & rehabilitation.

[77]  A. Mallinson,et al.  Community-based exercise program reduces risk factors for falls in 65- to 75-year-old women with osteoporosis: randomized controlled trial. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[78]  L. Rubenstein,et al.  An In‐Home Preventive Assessment Program for Independent Older Adults: A Randomized Controlled Trial , 1994, Journal of the American Geriatrics Society.

[79]  Suzanne G. Leveille,et al.  Preventing disability and falls in older adults: a population-based randomized trial. , 1994, American journal of public health.

[80]  L. Bearne,et al.  Vitamin D supplementation improves neuromuscular function in older people who fall. , 2004, Age and ageing.

[81]  N. Peel,et al.  Home safety assessment in the prevention of falls among older people , 2000, Australian and New Zealand journal of public health.

[82]  Stephen R Lord,et al.  The Effect of Group Exercise on Physical Functioning and Falls in Frail Older People Living in Retirement Villages: A Randomized, Controlled Trial , 2003, Journal of the American Geriatrics Society.

[83]  Jorunn L. Helbostad,et al.  Effects of home exercises and group training on functional abilities in home-dwelling older persons with mobility and balance problems. A randomized study , 2004, Aging clinical and experimental research.

[84]  L. Rubenstein,et al.  Geriatric Programs and Departments Around the World , 1998 .

[85]  D Osterweil,et al.  The value of assessing falls in an elderly population. A randomized clinical trial. , 1990, Annals of internal medicine.

[86]  A. Campbell,et al.  Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women , 1997, BMJ.

[87]  D. Rodell,et al.  Rehabilitation of elderly fallers: pilot study of a low to moderate intensity exercise program. , 1996, Archives of physical medicine and rehabilitation.

[88]  W A Ray,et al.  A randomized trial of a consultation service to reduce falls in nursing homes. , 1997, JAMA.

[89]  M. M. Petersen,et al.  Effect of external hip protectors on hip fractures , 1993, The Lancet.

[90]  R. Cumming,et al.  Home Visits by an Occupational Therapist for Assessment and Modification of Environmental Hazards: A Randomized Trial of Falls Prevention , 1999, Journal of the American Geriatrics Society.

[91]  R. Harrington,et al.  Falls prevention in residential care homes: a randomised controlled trial. , 2004, Age and ageing.

[92]  Elsayed Abdel-Moty,et al.  Low-intensity exercise and reduction of the risk for falls among at-risk elders. , 2004, The journals of gerontology. Series A, Biological sciences and medical sciences.

[93]  N. Vetter,et al.  Can health visitors prevent fractures in elderly people? , 1992, BMJ.

[94]  Philippa Williams,et al.  The Effect of a 12‐Month Exercise Trial on Balance, Strength, and Falls in Older Women: A Randomized Controlled Trial , 1995, Journal of the American Geriatrics Society.

[95]  Richard H Osborne,et al.  Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial , 2004, BMJ : British Medical Journal.

[96]  H. Minne,et al.  Effects of a Short‐Term Vitamin D and Calcium Supplementation on Body Sway and Secondary Hyperparathyroidism in Elderly Women , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[97]  P A Lachenbruch,et al.  Attempts to prevent falls and injury: a prospective community study. , 1992, The Gerontologist.

[98]  D. Kiel,et al.  An Epidemiologic Study of Fall‐Related Fractures Among Institutionalized Older People , 1995, Journal of the American Geriatrics Society.

[99]  M J Lichtenstein,et al.  Falls: An Examination of Three Reporting Methods in Nursing Homes , 1993, Journal of the American Geriatrics Society.

[100]  T. Nikolaus,et al.  Preventing Falls in Community‐Dwelling Frail Older People Using a Home Intervention Team (HIT): Results From the Randomized Falls‐HIT Trial , 2003, Journal of the American Geriatrics Society.

[101]  E H Wagner,et al.  Chronic Care Clinics: A Randomized Controlled Trial of a New Model of Primary Care for Frail Older Adults , 1999, Journal of the American Geriatrics Society.

[102]  Anne Moseley,et al.  A Randomized, Controlled Trial of Quadriceps Resistance Exercise and Vitamin D in Frail Older People: The Frailty Interventions Trial in Elderly Subjects (FITNESS) , 2003, Journal of the American Geriatrics Society.

[103]  F. Healey,et al.  Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial. , 2004, Age and ageing.

[104]  J. Morris,et al.  Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). , 1995, The Gerontologist.