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Citation |
Rapp K, Lamb SE, Büchele G, Lall R, Lindemann U, Becker C. J. Am. Geriatr. Soc. 2008; 56(6): 1092-1097. |
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Affiliation |
Department of Clinical Gerontology, Robert-Bosch Hospital, Stuttgart, Germany. |
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Copyright |
(Copyright © 2008, John Wiley and Sons) |
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DOI |
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PMID |
18482303 |
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Abstract |
OBJECTIVES: To evaluate the effectiveness of a multifactorial fall prevention program in prespecified subgroups of nursing home residents. DESIGN: Secondary analysis of a cluster-randomized, controlled trial. SETTING: Six nursing homes in Germany. PARTICIPANTS: Seven hundred twenty-five long-stay residents; median age 86; 80% female. INTERVENTION: Staff and resident education on fall prevention, advice on environmental adaptations, recommendation to wear hip protectors, and progressive balance and resistance training. MEASUREMENTS: Time to first fall and the number of falls. Falls were assessed during the 12-month intervention period. Univariate regression analyses were performed, including a confirmatory test of interaction. RESULTS: The intervention was more effective in people with cognitive impairment (hazard ratio (HR)=0.49, 95% confidence interval (CI)=0.35-0.69) than in those who were cognitively intact (HR=0.91, 95% CI=0.68-1.22), in people with a prior history of falls (HR=0.47, 95% CI=0.33-0.67) than in those with no prior fall history (HR=0.77, 95% CI= 0.58-1.01), in people with urinary incontinence (HR= 0.59, 95% CI=0.45-0.77) than in those with no urinary incontinence (HR=0.98, 95% CI= 0.68-1.42), and in people with no mood problems (incidencerate ratio (IRR)= 0.41, 95% CI= 0.27-0.61)than in those with mood problems (IRR=0.74, 95% CI= 0.51-1.09). CONCLUSION: The effectiveness of a multifactorialfall prevention programdiffered between subgroups of nursing home residents. Cognitive impairment, a history offalls, urinary incontinence,and depressed mood were important in determining response. Language: en |