Abstract：
OBJECTIVE:To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. DESIGN:A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. SETTING:Discharged hospital patients were followed-up in their home settings. PARTICIPANTS:All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60). INTERVENTIONS:Both groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans. MEASUREMENTS:Falls and near-falls at the participants' homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment. RESULTS:Nine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n=25) during follow-up. However, 2 participants (7.7%) fell in the control group (n=26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09-0.75). CONCLUSIONS:The tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201).
journal_name
Arch Gerontol Geriatrjournal_title
Archives of gerontology and geriatricsauthors
Ueda T,Higuchi Y,Imaoka M,Todo E,Kitagawa T,Ando Sdoi
10.1016/j.archger.2017.02.010subject
Has Abstractpub_date
2017-07-01 00:00:00pages
9-13eissn
0167-4943issn
1872-6976pii
S0167-4943(17)30143-7journal_volume
71pub_type
杂志文章,随机对照试验abstract：OBJECTIVE:Little is known about disability progression in very old age despite this being vital for care planning. We investigate whether distinct trajectories of disability are evident from age 85 to 90 and their association with socio-economic status (SES). METHODS:The Newcastle 85+ Study recruited people born in 19...
journal_title：Archives of gerontology and geriatrics
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