Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial
Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial
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DOI：
10.1136/bmj.328.7441.676
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发表时间：
2004-03-20
影响因子：
105.7
通讯作者：
Hill, KD
中科院分区：
文献类型：
--
作者：
Haines, TP;Bennell, KL;Hill, KD
目的评估有针对性的、在一家亚急性医院中实施多重干预福尔斯预防计划，以减少福尔斯和与福尔斯相关的损伤。设计一项有针对性的多重干预计划的随机对照试验，与常规护理相比。设置一家专门从事老年患者康复和护理的大都会医院的三个亚急性病房。参与者626名男性和女性38至99岁干预福尔斯风险警报卡，包括信息手册、锻炼计划、教育计划和髋关节保护器。主要结果测量福尔斯的发生率，与福尔斯相关的损伤，以及在住院期间经历一次或多次福尔斯跌倒的参与者比例。结果干预组的参与者（n = 310）与对照组（n = 316）相比，受试者的福尔斯跌倒次数减少30%。这种差异是显著的（Peto对数秩检验P = 0.045），并且在观察45天后最明显。在干预组有一个趋势，减少参与者的比例经历了福尔斯（相对危险度0.78，95%置信区间0.56至1.06）和28%的减少福尔斯下降导致损伤（对数秩检验P = 0.20）。结论有针对性的多重干预福尔斯预防方案降低了发病率福尔斯在亚急性医院设置。
Objective To assess the effectiveness of a targeted, multiple intervention falls prevention programme in reducing falls and injuries related to falls in a subacute hospital.Design Randomised controlled trial of a targeted multiple intervention programme implemented in addition to usual care compared with usual care alone.Setting Three subacute wards in a metropolitan hospital specialising in rehabilitation and care of elderly patients.Participants 626 men and women aged 38 to 99 years (average 80 years) were recruited from consecutive admissions to subacute hospital wards.Intervention Falls risk alert card with information brochure, exercise programme, education programme, and hip protectors.Main outcome measures Incidence rate of falls, injuries related to falls, and proportion of participants who experienced one or more falls during their stay in hospital.Results Participants in the intervention group (n = 310) experienced 30% fewer falls than participants in the control group (n = 316). This difference was significant (Peto log rank test P = 0.045) and was most obvious after 45 days of observation. In the intervention group there was a trend for a reduction in the proportion of participants who experienced falls (relative risk 0.78, 95% confidence interval 0.56 to 1.06) and 28% fewer falls resulted in injury (log rank test P = 0.20).Conclusions A targeted multiple intervention falls prevention programme reduces the incidence of falls in the subacute hospital setting.