Community-based intervention to optimise falls risk management: a randomised controlled trial.

The objective of this study was tto evaluate the impact of a multifaceted community-based programme aimed at optimising evidence-based management of patients at risk for fall-related fractures. A total of 201 patients were allocated to the intervention group or to usual care. Components of the intervention included assessment of falls risk, functional status and home environment, and patient education. Primary outcome was the implementation of appropriate falls risk assessment at 6 months. Secondary outcomes included falls and fractures at 6 and 12 months. The mean age of participants was 72 years, and 41% had fallen with injury in the previous year. Compared to usual care, the intervention increased the number of referrals made to physiotherapy and occupational therapy. At 12 months, the number of falls in the intervention group was greater than in the usual care group.

Compared to usual care, a multi-faceted intervention increased referrals to physiotherapy and occupational therapy but did not reduce risk of falls. Similar falls reduction interventions cannot be recommended based on the results of this study.

Ciaschini PM, Straus SE, Dolovich LR, et al. Community-based intervention to optimise falls risk management: a randomised controlled trial. Age Ageing. 2009 Nov;38(6):724-30

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