Document Detail

Effect of a statewide fall prevention program on incidence of femoral fractures in residents of long-term care facilities.
MedLine Citation:
PMID:  20002505     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To evaluate the effect of a statewide dissemination of a modified evidence-based fall prevention program on incidence of femoral fractures in nursing homes. DESIGN: Observational study of a staged implementation of a successful fall prevention program. SETTING: One thousand three hundred fifty-nine nursing homes in two federal states in the south of Germany. PARTICIPANTS: Nine thousand seventy-seven residents in the intervention homes and 43,583 residents in control homes from the same and a different federal state. INTERVENTION: Staff education on fall prevention, advice on environmental adaptations, and progressive strength and balance training over at least 1 year. MEASUREMENTS: Incident femoral fractures. RESULTS: One thousand five hundred eighteen femoral fractures occurred in the total study population during the intervention period. The crude incidence rate of femoral fractures was 39.5/1,000 person-years in residents from the intervention homes and 40.9 and 39.7/1,000 person-years in residents from two sets of control homes. In a multivariate model, there was no evidence of an effect of the fall prevention program on incidence of femoral fracture when compared with control homes from the same federal state (adjusted hazard ratio (AHR)=0.96, 95% confidence interval (CI)=0.83-1.11) or from a different federal state (AHR=1.00, 95% CI=0.86-1.16). CONCLUSION: The statewide dissemination of a multifactorial fall prevention program did not appear to reduce the burden of femoral fractures in residents of nursing homes.
Kilian Rapp; Sarah E Lamb; Luzia Erhardt-Beer; Ulrich Lindemann; Ulrich Rissmann; Jochen Klenk; Clemens Becker
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2009-12-09
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  58     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-03     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-5     Citation Subset:  IM    
Department of Clinical Gerontology, Robert-Bosch-Hospital, Stuttgart, Germany.
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MeSH Terms
Accidental Falls / prevention & control*
Aged, 80 and over
Femoral Fractures / epidemiology*,  etiology
Long-Term Care*
Nursing Homes*
Comment In:
J Am Geriatr Soc. 2010 Sep;58(9):1809; author reply 1809-10   [PMID:  20863349 ]

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