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Multifactorial day hospital intervention to reduce falls in high risk older people in primary care

Completed
Conditions
Falls
Injury, Occupational Diseases, Poisoning
Registration Number
ISRCTN46584556
Lead Sponsor
ottingham City Hospital (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
400
Inclusion Criteria

The study population will comprise men and women aged 70 and over identified as being at high risk of falling by a postal screening questionnaire, registered with the participating general practices in Nottinghamshire and Derbyshire.

Exclusion Criteria

1. Patients already attending one of the day hospitals
2. Patients under follow-up with an existing primary care based falls prevention scheme
3. Residents in nursing or residential homes
4. Patients with terminal illnesses
5. Those unwilling or unable to travel to the day hospital (using transport as provided)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The proportion of older people who fall over one year, identified in primary care as being at high risk of falling
Secondary Outcome Measures
NameTimeMethod
Added 08/09/2009:<br>1. Proportion of people with single or recurrent falls (greater than 1)<br>2. Fall-related injuries: fracture, serious sprain requiring immobilisation in plaster, joint dislocations, head injury requiring hospitalisation, and lacerations requiring suturing<br>3. Disability: Nottingham Extended Activities of Daily Living Scale; Barthel Index of Daily Living; Quality of life: Falls Efficacy Scale and EuroQoL-5<br>4. Institutionalisation and use of health services: residency and diary information<br>5. Cost analysis<br>6. Screening tool, defined by sensitivity/specificity as well as positive and negative predictive values<br>7. Deaths will be checked against PCT records and measured as proportions
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