Evaluation of a nurse-led falls prevention programme versus usual care: a randomized controlled trial.

Abstract:

OBJECTIVE:to evaluate a nurse-led management plan and care pathway for older people discharged from an Accident and Emergency Department after a fall. DESIGN:randomized controlled trial. SETTING:a large teaching hospital. SUBJECTS:348 consecutive patients aged 65 or over attending the Accident and Emergency Department with a fall. INTERVENTIONS:we randomized patients to falls nurse intervention or usual care. Within 4 weeks, the intervention group received a home assessment to address easily modifiable risk factors for falls. This included assessments of medication, ECG, blood pressure, cognition, visual acuity, hearing, vestibular dysfunction, balance, mobility, feet and footwear. All patients were given advice and education about general safety in the home. MAIN OUTCOME MEASURES:Further falls, functional ability, re-attendance at the Accident and Emergency Department and admission to hospital. RESULTS:at 6 months post-Index fall, 36 patients in the intervention group and 39 patients in the control group had had 89 and 145 falls respectively. Although the intervention group had less falls, this was not significant (P>0.05). Similarly, the intervention group had fewer fall-related admissions and bed days (8 and 69 respectively) than the control group (10 and 233 respectively). The intervention group scored significantly higher in indicators of function (P<0.05) and mobility within the community (P<0.02). CONCLUSIONS:although the differences were not significant, patients in the intervention group had fewer falls, less hospital attendances and spent less time in hospital. Moreover, patients in the intervention group were more functionally independent at 6 months post-Index fall.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Lightbody E,Watkins C,Leathley M,Sharma A,Lye M

doi

10.1093/ageing/31.3.203

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

203-10

issue

3

eissn

0002-0729

issn

1468-2834

journal_volume

31

pub_type

临床试验,杂志文章,随机对照试验
  • Aged men and ischaemic heart disease: serum cholesterol and triglyceride levels.

    abstract::Fasting serum cholesterol and triglyceride levels, and lipoprotein electrophoretic patterns have been investigated in 42 men aged 67-92 years (mean 79 years). Although all the cholesterol and the majority of the triglyceride levels were within the normal range for younger people, both were significantly greater (P < 0...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/9.3.154

    authors: Horsey J,Livesley B,Dickerson JW

    更新日期:1980-08-01 00:00:00

  • The place of the specialist home for the elderly mentally infirm in the care of mentally disturbed old people.

    abstract::In a city where specialist homes for the elderly mentally infirm (EMI) have been extensively developed, a study was carried out to determine if residents in such homes were mentally impaired to a degree intermediate between that of residents in ordinary homes, and those in psychogeriatric beds. The study, using valid ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/13.4.218

    authors: de Zoysa AS,Blessed G

    更新日期:1984-07-01 00:00:00

  • Health conditions, health symptoms and driving difficulties in older adults.

    abstract:OBJECTIVES:Previous research has indicated that age-related medical or health conditions can affect driving performance in older adults but little, if any, research has examined the mechanisms through which health conditions affect driving difficulties in older adults. DESIGN:Cross-sectional, correlational study. SET...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afm032

    authors: Tuokko HA,Rhodes RE,Dean R

    更新日期:2007-07-01 00:00:00

  • Resting energy expenditure in relation to energy intake in patients with Alzheimer's disease, multi-infarct dementia and in control women.

    abstract::Energy intake and resting energy expenditure in relation to body composition were studied in female patients with Alzheimer's disease, multi-infarct dementia and in home-living non-demented elderly women. Patients with Alzheimer's disease tended to have lower body weight and higher energy intake (p = NS) than control ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.2.132

    authors: Niskanen L,Piirainen M,Koljonen M,Uusitupa M

    更新日期:1993-03-01 00:00:00

  • Increased levels of soluble Receptor for Advanced Glycation End-products (RAGE) are associated with a higher risk of mortality in frail older adults.

    abstract:OBJECTIVE:to evaluate the relationship between serum levels of the soluble Receptor for Advanced Glycation End-products (sRAGE) and mortality in frail and non-frail older adults. METHODS:we studied 691 subjects (141 frail and 550 non-frail) with a median age of 75 years from two population-based cohorts, the Toledo St...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afz073

    authors: Butcher L,Carnicero JA,Gomez Cabrero D,Dartigues JF,Pérès K,Garcia-Garcia FJ,Rodriguez-Mañas L,Erusalimsky JD,FRAILOMIC Consortium.

    更新日期:2019-09-01 00:00:00

  • Left ventricular performance in atrial fibrillation in the elderly.

    abstract::Ejection fraction was measured directly by a radionuclide method, and indirectly from systolic time intervals, in elderly patients in atrial fibrillation. Both methods show that the ejection fraction averages approximately 55% at mean ventricular rates of 50-70 beats/min and falls to 20% or below as mean rate increase...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/10.4.231

    authors: Caird FI,Williams BO

    更新日期:1981-11-01 00:00:00

  • Older age is associated with less cancer treatment: a longitudinal study of English cancer patients.

    abstract:Background:making informed decisions about cancer care provision for older cancer patients can be challenging and complex. Evidence suggests cancer care varies by age, however the relationship between age and care experiences from diagnosis to death for cancer patients within the UK has not previously been examined in ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy094

    authors: Craigs CL,Bennett MI,Hurlow A,West RM,Ziegler LE

    更新日期:2018-11-01 00:00:00

  • Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

    abstract:BACKGROUND AND OBJECTIVE:previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effect...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afv064

    authors: Karinkanta S,Kannus P,Uusi-Rasi K,Heinonen A,Sievänen H

    更新日期:2015-09-01 00:00:00

  • Transitions between frailty states in the very old: the influence of socioeconomic status and multi-morbidity in the Newcastle 85+ cohort study.

    abstract:BACKGROUND:Using Newcastle 85+ Study data, we investigated transitions between frailty states from age 85 to 90 years and whether multi-morbidities and socioeconomic status (SES) modify transitions. METHODS:The Newcastle 85+ Study is a prospective, longitudinal cohort study of all people born in 1921 in Newcastle and ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa054

    authors: Mendonça N,Kingston A,Yadegarfar M,Hanson H,Duncan R,Jagger C,Robinson L

    更新日期:2020-10-23 00:00:00

  • Management of spasticity revisited.

    abstract::Spasticity is common after stroke and other neurological conditions and causes considerable limitations of movement, activities of daily living and participation. Interaction with other components of the upper motor neurone syndrome (UMNS) and the heterogeneity of patients' presentations together with limited tools fo...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/aft064

    authors: Graham LA

    更新日期:2013-07-01 00:00:00

  • Follow-up of a controlled trial of domiciliary stroke rehabilitation (DOMINO Study).

    abstract::The DOMINO study compared domiciliary and hospital-based rehabilitation services for stroke patients after discharge from hospital, stratified by the hospital ward at discharge. No difference between the services had been found at 6 months, but home therapy was better than outpatient department therapy at improving ho...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/23.1.9

    authors: Gladman JR,Lincoln NB

    更新日期:1994-01-01 00:00:00

  • The factors associated with self-reported physical activity in older adults living in the community.

    abstract:BACKGROUND:despite the vast literature in the area, few studies examined the large range of factors associated with physical activity (PA) in the older adult collectively, information that could help develop a supportive culture for healthy ageing. OBJECTIVE:to identify the socio-demographic, social connectedness, phy...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afv042

    authors: McKee G,Kearney PM,Kenny RA

    更新日期:2015-07-01 00:00:00

  • Alcohol consumption by elderly people: a general practice survey.

    abstract::A random sample of 241 patients from General Practice registers in London were interviewed to assess alcohol consumption, cognitive impairment, depression and other factors. Fifty-one per cent of men and 22% of women reported use of alcohol in the previous 3 months. No significant association was found between reporte...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.2.120

    authors: Iliffe S,Haines A,Booroff A,Goldenberg E,Morgan P,Gallivan S

    更新日期:1991-03-01 00:00:00

  • Ageism in the management of lung cancer.

    abstract:BACKGROUND:age-related differences in the treatment of lung cancer patients have been reported in the past, but most previous studies have not recorded case-mix factors, nor have they studied the impact of such ageism on survival. METHODS:a questionnaire-based study of diagnostic and case-mix factors was carried out a...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/32.2.171

    authors: Peake MD,Thompson S,Lowe D,Pearson MG,Participating Centres.

    更新日期:2003-03-01 00:00:00

  • Why do geriatric outpatients have so many moderate and severe vertebral fractures? Exploring prevalence and risk factors.

    abstract:OBJECTIVES:to determine the prevalence of vertebral fractures and their risk factors in geriatric patients. DESIGN:prospective cohort study. SETTING:teaching hospital in Amsterdam, The Netherlands. SUBJECTS:three hundred and three geriatric patients, who had their first visit at a diagnostic day hospital between Apr...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr174

    authors: van der Jagt-Willems HC,van Hengel M,Vis M,van Munster BC,van Campen JP,Tulner LR,Lems WF

    更新日期:2012-03-01 00:00:00

  • Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women.

    abstract:BACKGROUND:physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS:in the Women's Health Initiativ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy213

    authors: Saquib N,Brunner R,Desai M,Kroenke C,Martin LW,Daviglus M,Allen NB,Robinson J,Tindle H,Stefanick ML

    更新日期:2019-05-01 00:00:00

  • General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages.

    abstract:OBJECTIVES:The purpose of this paper is to investigate the utilisation of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) within 6 months of an aged care eligibility assessment and its effects on mortality and transition to permanent residential aged care (P...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa272

    authors: Visvanathan R,Amare AT,Wesselingh S,Inacio MC

    更新日期:2020-12-23 00:00:00

  • The effect of white matter low attenuation on cognitive performance in dementia of the Alzheimer type.

    abstract::The effect of leukoaraiosis or white matter low attenuation (WMLA) on cognitive function is not fully understood. We compared the neuropsychological performance of 37 Alzheimer's disease patients with WMLA on CT brain scans with a similar group of 31 Alzheimer's disease patients with no evidence of white matter lesion...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.6.443

    authors: Amar K,Bucks RS,Lewis T,Scott M,Wilcock GK

    更新日期:1996-11-01 00:00:00

  • Socio-demographic correlates of mobility disability in older Brazilians: results of the first national survey.

    abstract:INTRODUCTION:Socio-economic differences in mobility disability prevalence in old age have been reported from the US and Europe. Brazil is characterised by gross socio-economic inequalities, but there have been no previous national data on disability prevalence. AIM:This study aimed to estimate disability rates and exp...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh075

    authors: Melzer D,Parahyba MI

    更新日期:2004-05-01 00:00:00

  • Changing attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study.

    abstract:BACKGROUND:while it is well established that individual patient preferences regarding cardiopulmonary resuscitation (CPR) may change with time, the stability of population preferences, especially during periods of social and economic change, has received little attention. OBJECTIVE:to elicit the resuscitation preferen...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afn291

    authors: Cotter PE,Simon M,Quinn C,O'Keeffe ST

    更新日期:2009-03-01 00:00:00

  • Caring for elderly dependents: effects on the carers' quality of life.

    abstract::This study describes a survey of 256 informal carers and elderly people they support, and examines the impact of the caring role upon quality of life. Carers reported that many aspects of their physical and mental health as well as their social and family lives were affected by their caring. For many the caring activi...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/21.6.421

    authors: Jones DA,Peters TJ

    更新日期:1992-11-01 00:00:00

  • Where are we in perioperative medicine for older surgical patients? A UK survey of geriatric medicine delivered services in surgery.

    abstract:INTRODUCTION:national reports have highlighted deficiencies in care provided to older surgical patients and suggested a role for innovative, collaborative, inter-specialty models of care. The extent of geriatrician-led perioperative services in the UK (excluding orthogeriatric services) has not previously been describe...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu084

    authors: Partridge JS,Collingridge G,Gordon AL,Martin FC,Harari D,Dhesi JK

    更新日期:2014-09-01 00:00:00

  • Duodenal ulcer disease in the elderly: a retrospective study.

    abstract::A retrospective study was performed of 163 patients aged 65 years and over with a diagnosis of duodenal ulceration admitted to one Health District over a period of six years. Eighty per cent of the patients were admitted with acute complications, 50% bled and 30% were perforated. A large proportion of these patients w...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/14.4.225

    authors: Watson RJ,Hooper TL,Ingram G

    更新日期:1985-07-01 00:00:00

  • Factors associated with self- and informant ratings of quality of life, well-being and life satisfaction in people with mild-to-moderate dementia: results from the Improving the experience of Dementia and Enhancing Active Life programme.

    abstract:BACKGROUND:a large number of studies have explored factors related to self- and informant ratings of quality of life in people with dementia, but many studies have had relatively small sample sizes and mainly focused on health conditions and dementia symptoms. The aim of this study is to compare self- and informant-rat...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz177

    authors: Wu YT,Nelis SM,Quinn C,Martyr A,Jones IR,Victor CR,Knapp M,Henderson C,Hindle JV,Jones RW,Kopelman MD,Morris RG,Pickett JA,Rusted JM,Thom JM,Litherland R,Matthews FE,Clare L,IDEAL Programme team.

    更新日期:2020-04-27 00:00:00

  • The association of ageing with calcium active hormone status in men.

    abstract::We measured calcium regulating hormones and bone mineral density (BMD) in 66 men (aged 24-88 years). Vitamin D (1,25(OH)2D) does not vary with age, parathyroid hormone (PTH) increases after the age of 65 (p < 0.01) together with a parallel increase in urinary (r = 0.46, p < 0.05) and nephrogenic cAMP (r = 0.63, p < 0....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.2.127

    authors: Ravaglia G,Forti P,Pratelli L,Maioli F,Scali CR,Bonini AM,Tedioli S,Marasti N,Pizzoferrato A,Gasbarrini G

    更新日期:1994-03-01 00:00:00

  • Shared genetic influence on frailty and chronic widespread pain: a study from TwinsUK.

    abstract:Introduction:frailty is an increased vulnerability to adverse health outcomes, across multiple physiological systems, with both environmental and genetic drivers. The two most commonly used measures are Rockwood's frailty index (FI) and Fried's frailty phenotype (FP). Material and methods:the present study included 36...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx122

    authors: Livshits G,Ni Lochlainn M,Malkin I,Bowyer R,Verdi S,Steves CJ,Williams FMK

    更新日期:2018-01-01 00:00:00

  • Myasthenia gravis and elderly people.

    abstract::Myasthenia gravis is probably commoner than previously suspected, the annual incidence being nearer 9-10/million than earlier figures of 2-4/million. The current study found an annual incidence in Croyden of 9.1 per million (95% confidence limits 5.7-13.8 per million). Of the 22 patients (59%) seen in Croyden with new...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.1.56

    authors: Schon F,Drayson M,Thompson RA

    更新日期:1996-01-01 00:00:00

  • Confirming long-stay status.

    abstract::This paper discusses an assessment procedure for the formal identification of patients requiring long-stay geriatric care. It was introduced immediately prior to the reorganization of geriatric in-patient care at St Pancras Hospital which saw the abolition of mixed wards of acute, rehabilitation, and long-stay patient...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.1.13

    authors: Golding R,Lugon M,Hodkinson HM

    更新日期:1987-01-01 00:00:00

  • Measures of physical functioning after hip fracture: construct validity and responsiveness of performance-based and self-reported measures.

    abstract:OBJECTIVES:this study aimed to investigate the construct validity and responsiveness of performance-based and self-reported measures of strength, mobility and balance after hip fracture. DESIGN:secondary analysis of clinical trial data. SUBJECTS:a total of 148 older people undergoing hip fracture rehabilitation. MET...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afs090

    authors: Farag I,Sherrington C,Kamper SJ,Ferreira M,Moseley AM,Lord SR,Cameron ID

    更新日期:2012-09-01 00:00:00

  • Care homes and COVID-19 in Hong Kong: how the lessons from SARS were used to good effect.

    abstract::In Hong Kong, about 15% of older people (aged 80 and above) live in care homes, one of the highest proportions in the world. During the spread of severe acute respiratory syndrome in 2003, the crude fatality rate for older people in care homes that were infected was 72%. After taking the advice of a team of internatio...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa234

    authors: Chow L

    更新日期:2021-01-08 00:00:00