Public Health
Volume 123, Issue 12 , Pages 809-813 , December 2009

The long-term effect of a multifactorial fall prevention programme on the incidence of falls requiring medical treatment

  • M. Salminen

      Affiliations

    • Institute of Clinical Medicine, Family Medicine, University of Turku, 20014 Turku, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358 2 333 8419; fax: +359 2 333 8439.
    • ,
  • T. Vahlberg

      Affiliations

    • Institute of Clinical Medicine, Biostatistics, University of Turku, Turku, Finland
    • ,
  • S.-L. Kivelä

      Affiliations

    • Institute of Clinical Medicine, Family Medicine, University of Turku, 20014 Turku, Finland
    • Satakunta Central Hospital, Pori, Finland
    • Unit of Family Medicine, Turku University Hospital, Turku, Finland

Received 10 June 2009 ,Revised 5 October 2009 ,Accepted 28 October 2009.

References 

  1. Oliver D, Daly F, Martin F, McMurdo M. Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing. 2004;33:122–130
  2. Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;366:1885–1893
  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. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews. 2003;4:CD000340
  5. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35(Suppl 2):ii37–ii41
  6. 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
  7. 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
  8. 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
  9. Shaw F, Bond J, Richardson D, et al. Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency depertment: randomised controlled trial. BMJ. 2003;326:73–78
  10. Davison J, Bond J, Dawson P, Steen N, Kenny RA. Patients with recurrent falls attending accident & emergency benefit from multifactorial intervention – a randomised controlled trial. Age Ageing. 2005;34:162–168
  11. Tinetti M, Baker D, 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
  12. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet. 1999;353:93–97
  13. Hogan D, MacDonald F, Betts J, et al. A randomized controlled trial of a community-based consultation service to prevent falls. CMAJ. 2001;165:537–543
  14. Robertson C, Devlin N, Gardner M, Campbell J. Effectiveness and economic evaluation of a nurse delivered home exercise programmeme to prevent falls. 1: Randomised controlled trial. BMJ. 2001;322:697–702
  15. Lightbody E, Watkins C, Leathley M, Sharma A, Lye M. Evaluation of a nurse-led falls prevention programmeme versus usual care: randomized controlled trial. Age Ageing. 2002;31:203–210
  16. Sjösten NM, Salonoja M, Piirtola M, et al. A multifactorial fall prevention programme in home-dwelling elderly people: a randomized controlled trial. Public Health. 2007;121:308–318
  17. 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
  18. 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
  19. Salminen M, Vahlberg T, Salonja M, Aarnio P, Kivelä S-L. Effects of a risk-based multifactorial intervention programme on the incidence of falls. J Am Geriatr Soc. 2009;57:612–619
  20. 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
  21. 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
  22. World Health Organization . International statistical classification of diseases and related health problems. 2nd edn.. Geneva: World Health Organization; 1999;
  23. 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;5:20
  24. 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
  25. Tinetti M, Baker D, King M, et al. Effect of dissemination of evidence in reducing injuries from falls. N Engl J Med. 2008;359:252–261
  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. 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
  28. Campbell AJ, Robertson MC. Implementation of multifactorial interventions for fall and fracture prevention. Age Ageing. 2006;35:S60–S64

PII: S0033-3506(09)00313-8

doi: 10.1016/j.puhe.2009.10.018

Public Health
Volume 123, Issue 12 , Pages 809-813 , December 2009

Article Tools

* Image Usage & Resolution