Effect of a risk-based multifactorial fall prevention program on the incidence of falls

Journal of the American Geriatrics Society

Volumn 57, Issue 4, 2009, Pages 612-619

  Salminen, Marika J ^a   Vahlberg, Tero J ^a   Salonoja, Maritta T ^b   Aarnio, Pertti T T ^b   Kivelä, Sirkka Liisa ^a,b,c  

^a UNIVERSITY OF TURKU   (Finland)

^b SATAKUNTA CENTRAL HOSPITAL   (Finland)

^c TURKU UNIVERSITY HOSPITAL   (Finland)

Author keywords

Aged; Fall prevention; Falls; Incidence; Multifactorial

Indexed keywords

ALENDRONIC ACID; CALCIUM; CHOLINERGIC RECEPTOR BLOCKING AGENT; COLECALCIFEROL; CREATINE; HEMOGLOBIN; OPIATE; POTASSIUM; PSYCHOTROPIC AGENT; SODIUM;

ACCIDENT PREVENTION; AGED; ARTICLE; BALANCE DISORDER; BONE DENSITY; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CREATININE BLOOD LEVEL; DAILY LIFE ACTIVITY; DEPRESSION; DRUG DOSE REDUCTION; DRUG WITHDRAWAL; EXERCISE; FALL RISK; FEMALE; GERIATRIC ASSESSMENT; GERIATRIC NUTRITION; HEALTH CARE UTILIZATION; HEALTH EDUCATION; HEMOGLOBIN BLOOD LEVEL; HOME CARE; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MUSCLE STRENGTH; OUTCOME ASSESSMENT; PATIENT COMPLIANCE; PATIENT COUNSELING; PATIENT GUIDANCE; PEAK EXPIRATORY FLOW; POLYPHARMACY; POTASSIUM BLOOD LEVEL; PSYCHOSOCIAL CARE; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RISK MANAGEMENT; SELF CONCEPT; SINGLE BLIND PROCEDURE; SODIUM BLOOD LEVEL; VISION; WALKING;

ACCIDENT PREVENTION; ACCIDENTAL FALLS; AGED; DEPRESSION; FEMALE; FINLAND; HUMANS; INCIDENCE; MALE; RISK FACTORS; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME;

EID: 63849138550     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2009.02176.x     Document Type: Article

References (38)

1. Gillespie LD, Gillespie WJ, Robertson MC et al. Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews 2003, Issue 4. Art. No.: CD000340. DOI :. CD000340.
2. Rubenstein LZ. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing 2006 35 S2 : ii37 ii41.
3. Tinetti ME, Williams CS. Falls, injuries due to falls, and the risk of admission to a nursing home. N Engl J Med 1997 337 : 1279 1284.
4. Chang JT, Morton SC, Rubenstein LZ et al. Interventions for prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trial. BMJ 2004 328 : 680 686.
5. 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 : 130 138.
6. 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.
7. Sjösten NM, Salonoja M, Piirtola M et al. A multifactorial fall prevention programme in home-dwelling elderly people: A randomized-controlled trial. Public Health 2007a 121 : 308 318.
8. Garry PJVB. Practical and validated use of the Mini Nutritional Assessment in geriatric evaluation. Nutr Clin Care 1999 2 : 146 154.
9. Sintonen H The 15D instrument of health-related quality of life: Properties and applications. Ann Med 2001 33 : 328 336.
10. Rubenstein LZ, Robbins AS, Josephson KR et al. The value of assessing falls in an elderly population. A randomized clinical trial. Ann Intern Med 1990 113 : 309 316.
11. Koski KLH, Laippala P, Kivelä S-L. Physiological factors and medications as predictors of injurious falls by elderly: A prospective population-based study. Age Ageing 1996 25 : 29 38.
12. World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 2nd edition. Geneva : World Health Organization, 1999.
13. Berg KO, Wood-Dauphinée SL, Williams JT et al. Measuring balance in the elderly: Validation of an instrument. Can J Public Health 1992 83 : S7 S11.
14. Rantanen T, Era P, Heikkinen E. Maximal isometric strength and mobility among 75-year-old men and women. Age Ageing 1994 23 : 132 137.
15. Yesavage JA, Brink TL, Rose TL et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1982-1983 17 : 37 49.
16. Brink TL, Yesavage JA, Lum O et al. Screening tests for geriatric depression. Clin Gerontol 1982 1 : 37 44.
17. Salminen M, Vahlberg T, Sihvonen S et al. Effects of risk-based multifactorial fall prevention on postural balance in the community-dwelling aged: A randomized controlled trial. Arch Gerontol Geriatr 2009 48 : 22 27.
18. Salminen M, Vahlberg T, Sihvonen S et al. Effects of risk-based multifactorial fall prevention on maximal isometric muscle strength in the community-dwelling aged: A randomized controlled trial. Aging Clin Exp Res 2008 20 : 487 493.
19. Vaapio S, Salminen M, Vahlberg T et al. Effects of risk-based multifactorial fall prevention on health-related quality of life among the community-dwelling aged: A randomized controlled trial. Health Qual Life Outcomes 2007 Apr 26 : 20.
20. MacEntee MI, Wyatt C, Kiyak HA et al. Response to direct and indirect recruitment for a randomised dental clinical trial in a multicultural population of elders. Commun Dent Oral Epidemiol 2002 30 : 377 381.
21. Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989 44 : M112 M117.
22. Campbell AJ, Robertson MC. Implementation of multifactorial interventions for fall and fracture prevention. Age Ageing 2006 35 : S60 S64.
23. Bogle-Thorbahn LD, Newton RA. Use of the Berg balance test to predict falls in elderly persons. Phys Ther 1996 76 : 576 585.
24. Steadman J, Donaldson N, Kalra L. A randomized controlled trial of an enhanced balance training program to improve mobility and reduce falls in elderly patients. J Am Geriatr Soc 2003 51 : 847 852.
25. Kenny RA, Rubenstein LZ, Martin FR et al. Guideline for the prevention of falls in older people. J Am Geriatr Soc 2001 49 : 664 672.
26. Beswick A, Rees K, Dieppe P et al. Complex interventions to improve physical function and maintain independent living in elderly people: A systematic review and meta-analysis. Lancet 2008 371 : 725 735.
27. Ganz DA, Bao Y, Shekelle PG et al. Will my patient fall? JAMA 2007 297 : 77 86.
28. Järvinen TLN, Sievänen H, Khan KM et al. Shifting the focus in fracture prevention from osteoporosis to falls. BMJ 2008 336 : 124 126.
29. Lord SR, Sherrington C, Menz HB. Falls in Older People: Risk Factors and Strategies for Prevention. New York : Cambridge University Press, 2001.
30. Sjösten N, Vahlberg T, Kivelä S-L. The effects of multifactorial fall prevention on depressive symptoms among the aged at increased risk of falling. Int J Geriatr Psychiatry 2008 23 : 504 510.
31. Vaapio S, Sjösten N, Salminen M et al. Kaatumisten ehkäisy. Ehkäisyohjelma ja sen vaikutukset iäkkäiden terveyteen liittyvän elämänlaadun psykososiaalisiin ulottuvuuksiin. [Prevention of falls. Fall prevention programme and it's effects on the psychosocial dimensions of health related quality of life.]. Yleislääkäri [J Finnish Gen Practitioner] 2008 23 : 23 28.
32. Luukinen H, Koski K, Laippala P et al. Predictors for recurrent falls among the home-dwelling elderly. Scand J Prim Health Care 1995 13 : 294 299.
33. Brown AP. Reducing falls in elderly people: A review of exercise interventions. Physiother Theory Pract 1999 15 : 59 68.
34. Day L, Fildes B, Gordon I et al. Randomised factorial trial of fall prevention among older people living in their own homes. BMJ 2002 325 : 128 133.
35. Cumming RG, Thomas M, Szonyi G et al. Adherence to occupational therapist recommendations for home modifications for falls prevention. Am J Occup Ther 2001 55 : 641 648.
36. Barnett A, Smith B, Lord SR et al. Community-based group exercise improves balance and reduces falls in at-risk older people: A randomised controlled trial. Age Ageing 2003 32 : 407 414.
37. Nowalk MP, Prendergast JM, Bayles CM et al. Randomized trial of exercise programs among older individuals living in two long-term care facilities: The FallsFREE program. J Am Ger Soc 2001 49 : 859 865.
38. Sjösten NM, Salonoja M, Piirtola M et al. A multifactorial fall prevention programme in the community-dwelling aged: Predictors of adherence. Eur J Public Health 2007 17 : 464 470.