@article{ref1,
title="Effectiveness of a programme delivered in a falls clinic in preventing serious injuries in high-risk older adults: a pre- and post-intervention study",
journal="Maturitas",
year="2019",
author="Blain, Hubert and Dabas, Fiona and Mekhinini, Samia and Picot, Marie-Christine and Miot, Stéphanie and Bousquet, Jean and Boubakri, Chokri and Jaussent, Audrey and Bernard, Pierre Louis",
volume="122",
number="",
pages="80-86",
abstract="OBJECTIVE: To evaluate whether a multifactorial programme delivered in a real practice setting would help prevent serious fall-related injuries in high-risk older patients. <br><br>DESIGN: A 6-month pre-post intervention study in 134 fallers (81.6 ± 7.2 years) consecutively referred to a fall prevention clinic after repeated falls in the previous year or after a fall associated with balance, gait, or strength disorders. The programme was delivered by a physiotherapist, an occupational therapist, a podiatrist, and a geriatrician based on a 3-hour fall risk assessment. <br><br>RESULTS: The proportion of patients with serious and moderate fall-related injuries was significantly lower in the 6 months after than in the 6-months preceding clinic attendance [8 (6.1%) vs 40 (30.5%), and 11 (8.2%) vs 19 (14.2%), respectively; p < 0.0001], as were the overall proportion of fallers (32.1% vs 95.4%; p < 0.0001) and the number of falls per patient (-5.2 ± -20.4; p < 0.0001). When compared with baseline, fear of falling at 6 months was reduced (p < 0.05), mobility was maintained, and the proportion of patients with an ADL score ≤ 2 was increased (5.6% vs 9.7% respectively; p < 0.001). Adherence to the main recommendations and satisfaction with the programme were > 75% at 6 months post-clinic. <br><br>CONCLUSIONS: A multifactorial fall prevention programme delivered by a multidisciplinary geriatric team in older patients at high risk of falling helps to reduce over a 6-month period the risk of serious and moderate injuries related to falls, the risk of falling, and the fear of falling, and helps to maintain mobility and improve functional status.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0378-5122",
doi="10.1016/j.maturitas.2019.01.012",
url="http://dx.doi.org/10.1016/j.maturitas.2019.01.012"
}