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Centre for Policy on Ageing | |
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The Winchester falls project
— a randomised controlled trial of secondary prevention of falls in older people | | Author(s) | Claire L Spice, Wendy Morotti, Steve George |
| Journal title | Age and Ageing, vol 38, no 1, January 2009 |
| Pages | pp 33-39 |
| Source | http://www.ageing.oxfordjournals.org |
| Keywords | Falls ; Preventative medicine ; Living in the community ; General practice ; Hospital services ; Multi disciplinary ; Evaluation ; Winchester. |
| Annotation | The mortality and morbidity of falls in older people is significant, with recurrent fallers being at an increased risk. This Mid Hampshire project determined the effectiveness of two interventions aimed at preventing further falls in recurrent fallers. In the first, 18 general practices were randomly allocated to one of three groups: a primary care group was assessed by nurses in the community, using a risk factor review and subsequent targeted referral to other professionals. A secondary care group received a multidisciplinary assessment in a day hospital followed by identified appropriate interventions. A control group received usual care. Participants were 505 people aged 65+ living in the community, presenting to an emergency department with an index fall and with two or more falls in the previous year. Follow-up was for one year, and was completed by 421 (83%). The proportion of participants who fell again was lower in the secondary care group (75%, 158/210) compared to the control group (84%, 133/159). The primary care group showed similar results to the control group (87%, 118/136). A structured multidisciplinary assessment and intervention can reduce further falls. (RH). |
| Accession Number | CPA-090212203 A |
| Classmark | OLF: LK2: K4: L5: LD: 3DM: 4C: 8HAW |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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