Estudio de Medida Del Riesgo de Caídas Orientada a la Intervención en Residencias
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 331
- 试验地点
- 2
- 主要终点
- Number of fallers
研究概览
简要总结
The aim of the study is to establish the impact of a falls screening questionnaire in the adoption of preventive interventions and eventually in the reduction of falls and its consequences in elder people living in nursing homes.
详细描述
Falls are the most frequent accidents in nursing homes, affecting more than a third of residents each year. Up to 10% of fallers require hospitalization or suffer a fracture. Psychological consequences affects between 20 and 80% of fallers, which suffer a lack of self-confidence that leads to reduction of activities and an increase of the dependence in activities of daily living.
Not all the residents have the same risk, and each person can have more than one risk factor that can be identified (previous falls, self confidence, weakness, gait disorders, dizziness, cognitive impairment, etc).
Identification of risk factors is the first step to reduce falls, but is not enough by itself. For this reason, interventions directed towards the correction of identified risk factors are required. In this setting, multifactorial interventions are the most successful to reduce falls numbers and its consequences.
As individual randomization of residents presents important inconveniences (group contamination, control arm residents could felt discriminated), we will randomized nursing homes to each group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •People with or without cognitive impairment living indefinitely in a nursing home place
- •Able to walk with or without any kind of help or able to self transfer (as defined in category d420 of the WHO International Classification of Functioning, Disability and Health) without help
- •Give their consent (or the legal guardian in case of cognitive impairment).
排除标准
- •Terminal illness (expected death before 6 months).
- •Occupying temporarily a nursing home place (convalescence period) or another kind of place(day center, long term care, etc).
结局指标
主要结局
Number of fallers
时间窗: one year
People who at least have one fall during the follow-up period. Fall:unexpected event in which the participants come to rest on the ground, floor, or lower level
次要结局
- Number of falls(one year)
- Number of people who has a fracture as a consequence of a fall(one year)
- Quality of life (only in residents without cognitive impairment).(One year)
- Activities of daily living(One year)