Effectiveness of a falls-and-fracture nurse coordinator to reduce falls: A randomized, controlled trial of at-risk older adults: (See editorial comments by Dr. Mary Tinetti on pp 1563-1565)

Journal of the American Geriatrics Society

Volumn 56, Issue 8, 2008, Pages 1383-1389

  Elley, C Raina ^a   Robertson, M Clare ^b   Garrett, Sue ^c   Kerse, Ngaire M ^a   McKinlay, Eileen ^c   Lawton, Beverley ^c   Moriarty, Helen ^c   Moyes, Simon A ^a   Campbell, A John ^b  

^a UNIVERSITY OF AUCKLAND   (New Zealand)

^b UNIVERSITY OF OTAGO   (New Zealand)

^c UNIVERSITY OF OTAGO   (New Zealand)

Author keywords

Elderly people; Falls prevention; Multifactorial intervention; Randomized controlled trial

Indexed keywords

BISPHOSPHONIC ACID DERIVATIVE; CALCIUM; PSYCHOTROPIC AGENT; VITAMIN D;

ACCIDENT PREVENTION; AGED; ARTICLE; BODY MASS; CALCIUM INTAKE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DUAL ENERGY X RAY ABSORPTIOMETRY; EXERCISE; FALL RISK; FEMALE; FOLLOW UP; FRACTURE; FRAIL ELDERLY; GENERAL PRACTITIONER; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MAORI; NEW ZEALAND; NURSE; OCCUPATIONAL THERAPIST; OSTEOPOROSIS; OUTCOME ASSESSMENT; PACIFIC ISLANDER; PATIENT REFERRAL; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; SAMPLE SIZE; SHORT FORM 36; STATISTICAL ANALYSIS; VITAMIN SUPPLEMENTATION;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; ALGORITHMS; COMMUNITY HEALTH NURSING; EXERCISE; FEMALE; FOLLOW-UP STUDIES; FRACTURES, BONE; GERIATRIC ASSESSMENT; GERIATRIC NURSING; HIP FRACTURES; HUMANS; MALE; MIDDLE AGED; MOBILITY LIMITATION; NEW ZEALAND; NURSING ASSESSMENT; PATIENT CARE TEAM; PROSPECTIVE STUDIES; REFERRAL AND CONSULTATION; RISK FACTORS; SAFETY; SOCIAL ENVIRONMENT; TREATMENT OUTCOME; WOUNDS AND INJURIES;

EID: 51249084571     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2008.01802.x     Document Type: Article

References (33)

1. Gillespie LD, Gillespie WJ, Robertson MC et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 2003;(4):CD000340.
2. Chang JT, Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trials. BMJ 2004 328 : 680.
3. National Institute for Clinical Excellence. Falls: The assessment and prevention of falls in older people. November 2004 [on-line]. Available at Accessed January 29, 2008.
4. Robertson MC, Devlin N, Gardner MM et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. BMJ 2001 322 : 697 701.
5. Robertson MC, Gardner MM, Devlin N et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres. BMJ 2001 322 : 701 704.
6. Gardner MM, Robertson MC, McGee R et al. Application of a falls prevention program for older people to primary health care practice. Prev Med 2002 34 : 546 553.
7. Close J, Ellis M, Hooper R et al. Prevention of falls in the elderly trial (PROFET): A randomised controlled trial. Lancet 1999 353 : 93 97.
8. Tinetti ME, Baker DI, McAvay G et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994 331 : 821 827.
9. Campbell AJ, Robertson MC, La Grow SJ et al. Randomised controlled trial of prevention of falls in people aged ≥75 with severe visual impairment: The VIP Trial. BMJ 2005 331 : 817 820.
10. Elley CR, Robertson MC, Kerse N et al. Falls Assessment Clinical Trial (FACT): Design, interventions, recruitment strategies and participant characteristics. BMC Public Health 2007 7 : 185.
11. Lamb SE, Jørstad-Stein EC, Hauer K et al. Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. J Am Geriatr Soc 2005 53 : 1618 1622.
12. Buchner DM, Hornbrook MC, Kutner NG et al. Development of the common data base for the FICSIT trials. J Am Geriatr Soc 1993 41 : 297 308.
13. Podsiadlo D, Richardson S. The Timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991 39 : 142 148.
14. Guralnik JM, Simonsick EM, Ferrucci L et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994 49 : M85 M94.
15. Rossiter-Fornoff JE, Wolf SL, Wolfson LI et al. A cross-sectional validation study of the FICSIT common data base static balance measures. J Gerontol A Biol Sci Med Sci 1995 50A : M291 M297.
16. Hill K, Schwarz J, Flicker L et al. Falls among healthy, community-dwelling, older women: A prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health 1999 23 : 41 48.
17. Hill KD, Schwarz JA, Kalogeropoulos AJ et al. Fear of falling revisited. Arch Phys Med Rehabil 1996 77 : 1025 1029.
18. Nouri FM, Lincoln NB. An extended activities of daily living scale for stroke patients. Clin Rehabil 1987 1 : 301 305.
19. Elley C, Kerse N, Swinburn B et al. Measuring physical activity in primary health care research: Validity and reliability of two questionnaires. N Z Fam Phys 2003 30 : 171 180.
20. Hayes V, Morris J, Morgan M. The SF-36 health survey questionnaire: Is it suitable for use with older adults? Age Ageing 1995 24 : 120 125.
21. Cumming RG, Thomas M, Szonyi G et al. Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention. J Am Geriatr Soc 1999 47 : 1397 1402.
22. 3 and calcium to prevent hip fractures in elderly women. N Engl J Med 1992 327 : 1637 1642.
23. Black DM, Cummings SR, Karpf DB et al. Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture Intervention Trial Research Group. Lancet 1996 348 : 1535 1541.
24. Accident Compensation Corporation. Otago Exercise Programme to prevent falls in older adults. August 2003 [on-line]. Available at Accessed January 29, 2008.
25. Robertson MC, Campbell AJ, Herbison P. Statistical analysis of efficacy in falls prevention trials. J Gerontol A Biol Sci Med Sci 2005 60A : 530 534.
26. Campbell AJ, Robertson MC. Rethinking individual and community fall prevention strategies: A meta-regression comparing single and multifactorial interventions. Age Ageing 2007 36 : 656 662.
27. Gates S, Lamb SE, Fisher JD et al. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: Systematic review and meta-analysis. BMJ 2008 336 : 130 133.
28. van Haastregt JC, Diederiks JP, van Rossum E et al. Effects of a programme of multifactorial home visits on falls and mobility impairments in elderly people at risk: Randomised controlled trial. BMJ 2000 321 : 994 998.
29. Lightbody E, Watkins C, Leathley M et al. Evaluation of a nurse-led falls prevention programme versus usual care: A randomized controlled trial. Age Ageing 2002 31 : 203 210.
30. Hogan DB, MacDonald FA, Betts J et al. A randomized controlled trial of a community-based consultation service to prevent falls. Can Med Assoc J 2001 165 : 537 543.
31. Clemson L, Cumming RG, Kendig H et al. The effectiveness of a community-based program for reducing the incidence of falls in the elderly: A randomized trial. J Am Geriatr Soc 2004 52 : 1487 1494.
32. Robertson MC, Campbell AJ, Gardner MM et al. Preventing injuries in older people by preventing falls: A meta-analysis of individual-level data. J Am Geriatr Soc 2002 50 : 905 911.
33. Jarvinen TLN, Sievanen H, Khan KM et al. Shifting the focus in fracture prevention from osteoporosis to falls. BMJ 2008 336 : 124 126.