Effectiveness of an Improved Fall Risk Assessment Form Combined With Obstacle Physical Activity Testing in Preventing Falls in Elderly Hospitalized Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 320
- 试验地点
- 1
- 主要终点
- Fall Incidence
研究概览
简要总结
This randomized controlled trial was conducted to evaluate if a personalized fall prevention strategy could reduce fall incidence in elderly hospitalized patients. A total of 320 patients were randomized into two groups. The experimental group received interventions guided by an improved fall risk assessment form and an obstacle physical activity test. The control group received standard hospital care. The primary outcome was the incidence of falls. Secondary outcomes included injury severity, nursing satisfaction, patient compliance, and quality of life.
详细描述
Falls are a common and serious adverse event among elderly hospitalized patients. While standard risk assessment tools exist, they often fail to capture dynamic risk factors related to patient mobility and environmental interaction. This study aimed to determine if a comprehensive assessment approach could improve fall prevention outcomes. This was a single-center, randomized controlled trial. A total of 320 inpatients aged 65 and older were randomly assigned to either an experimental group or a control group. The experimental group was assessed using an "Improved Risk Assessment Form for Inpatient Falls" and a novel "Obstacle Physical Activity Ability Test." The results guided a personalized fall prevention plan, including targeted exercises and environmental modifications. The control group received the hospital's standard fall prevention care, which included a standard risk checklist and universal precautions. The study's main objective was to compare the incidence of falls between the two groups throughout their hospital stay. Other outcomes, such as injury severity, patient satisfaction, compliance with preventive measures, and quality of life, were also assessed to evaluate the broader impact of the intervention.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inpatients aged 65 and above.
- •Identified as being at risk of falling upon admission screening (defined as having at least one of the following: history of a fall in the last 6 months, use of a walking aid, or observed gait/balance instability).
- •Able to provide informed consent or have a legal guardian provide consent.
排除标准
- •Acutely life-threatening conditions or severe cardiorespiratory instability that would preclude any mobility testing.
- •History of a severe fall-related injury (defined as a fracture or head injury requiring hospitalization) in the past 6 months that currently limits mobility assessment.
- •Non-ambulatory or bed-bound patients.
- •Patients with severe dementia (e.g., Mini-Mental State Examination score < 10) or diagnosed psychiatric conditions (e.g., psychosis, severe agitation) that would prevent cooperation.
- •Expected hospital stay of less than 48 hours.
研究组 & 干预措施
Experimental: Personalized Fall Prevention Group
Patients in this group received universal fall precautions plus a comprehensive assessment using the "Improved Risk Assessment Form for Inpatient Falls" and the "Obstacle Physical Activity Ability Test." Based on the assessment results, a personalized fall prevention plan was developed and implemented by the nursing and physical therapy team.
干预措施: Personalized Fall Prevention Program (Behavioral)
Active Comparator: Standard Care Group
Patients in this group received the hospital's standard of care for fall prevention. This included universal fall precautions and a standard risk assessment using the hospital's existing protocol based on static factors. Interventions were standard and not explicitly tailored to individual functional deficits.
干预措施: Standard Fall Prevention Care (Behavioral)
结局指标
主要结局
Fall Incidence
时间窗: Through study completion, an average of 10 days
The proportion of patients experiencing one or more falls. A fall was defined as an event which results in a person coming to rest inadvertently on the ground or floor or other lower level. It was recorded through the hospital's incident reporting system, patient self-report, and daily nursing checks.
次要结局
- Severity of Fall-Related Injury(Through study completion, an average of 10 days)
- Patient Compliance(Through study completion, an average of 10 days (assessed weekly))
- Change in Quality of Life (QoL)(Baseline and at discharge (an average of 10 days))
- Nursing Satisfaction(At discharge (an average of 10 days post-admission))
- Change in Physical Activity Ability(Baseline and at discharge (an average of 10 days))
研究者
Yang Lu
Principal investigator
The First Hospital of Hebei Medical University