Document Detail

The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates.
MedLine Citation:
PMID:  20817936     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: the burden of falls and fall-related injuries among older adults is well established. Contention surrounds the effectiveness, and hence value, of multi-component fall prevention interventions delivered in the community.
OBJECTIVE: using consensus-based analytic guidelines rather than time-to-first fall as the primary endpoint, the objective was to examine the effectiveness of the Whitehorse NoFalls trial on all falls, falls resulting in injury and falls requiring medical care to be sought.
DESIGN, SETTING AND PARTICIPANTS: the study was a community-based randomised controlled trial, with 1,090 participants assigned to one of eight groups, these being a combination of one or more of exercise, vision and or home hazard reduction or alternatively assignment to the control group.
METHODS: using negative binomial regression, the incidence of all falls, falls resulting in injury and those requiring medical care in the intervention groups were examined. Falls were reported using a monthly return calendar.
RESULTS: exercise alone and in combination with vision and/or home hazard reduction was associated with fewer falls. For falls resulting in injury and the subset requiring medical care, the vision plus exercise intervention was associated with fewer falls.
CONCLUSIONS: the findings confirm the effectiveness of exercise in preventing falls among community-dwelling older adults and supports contention that multi-component interventions do not prevent more falls than a single intervention. The results highlight the effectiveness of vision plus exercise in preventing more serious falls, a finding which warrants further consideration.
Michael P Fitzharris; Lesley Day; Stephen R Lord; Ian Gordon; Brian Fildes
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-09-04
Journal Detail:
Title:  Age and ageing     Volume:  39     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-19     Completed Date:  2011-01-31     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  728-33     Citation Subset:  IM    
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MeSH Terms
Accidental Falls / prevention & control*,  statistics & numerical data*
Aged, 80 and over
Exercise Therapy / organization & administration*
Housing for the Elderly
Practice Guidelines as Topic
Program Evaluation
Regression Analysis
Residence Characteristics
Risk Factors
Treatment Outcome
Wounds and Injuries / epidemiology*,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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