Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial

Background: The purpose of this study was to assess the effectiveness of a multifactorial intervention to reduce falls among the oldest-old people, including individuals with cognitive impairment or comorbidities. Methods: A randomized, single-blind, parallel-group clinical trial was conducted from...

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Autores: Ferrer, Assumpta, Formiga Pérez, Francesc, Sanz Ródenas, Héctor, Vries, Oscar J. de, Badia, Teresa, Pujol Farriols, Ramon, OCTABAIX Study Group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/126007
Acceso en línea:https://hdl.handle.net/2445/126007
Access Level:acceso abierto
Palabra clave:Caigudes (Accidents)
Comorbiditat
Falls (Accidents)
Comorbidity
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spelling Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trialFerrer, AssumptaFormiga Pérez, FrancescSanz Ródenas, HéctorVries, Oscar J. deBadia, TeresaPujol Farriols, RamonOCTABAIX Study GroupCaigudes (Accidents)ComorbiditatFalls (Accidents)ComorbidityBackground: The purpose of this study was to assess the effectiveness of a multifactorial intervention to reduce falls among the oldest-old people, including individuals with cognitive impairment or comorbidities. Methods: A randomized, single-blind, parallel-group clinical trial was conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people who were born in 1924, 328 were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both patients and their primary care providers. Primary outcomes were risk of falling and time until falls. Data analyses were by intention-to-treat. Results: Sixty-five (39.6%) subjects in the intervention group and 48 (29.3%) in the control group fell during follow-up. The difference in the risk of falls was not significant (relative risk 1.28, 95% confidence interval [CI] 0.94-1.75). Cox regression models with time from randomization to the first fall were not significant. Cox models for recurrent falls showed that intervention had a negative effect (hazard ratio [HR] 1.46, 95% CI 1.03-2.09) and that functional impairment (HR 1.42, 95% CI 0.97-2.12), previous falls (HR 1.09, 95% CI 0.74-1.60), and cognitive impairment (HR 1.08, 95% CI 0.72-1.60) had no effect on the assessment. Conclusion: This multifactorial intervention among octogenarians, including individuals with cognitive impairment or comorbidities, did not result in a reduction in falls. A history of previous falls, disability, and cognitive impairment had no effect on the program among the community-dwelling subjects in this study.Dove Medical Press2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/126007Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.2147/CIA.S57580Clinical Interventions in Aging, 2014, vol. 2014, num. 9, p. 383-393https://doi.org/10.2147/CIA.S57580cc-by-nc (c) Ferrer, Assumpta et al., 2014http://creativecommons.org/licenses/by-nc/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1260072026-05-27T06:46:51Z
dc.title.none.fl_str_mv Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
title Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
spellingShingle Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
Ferrer, Assumpta
Caigudes (Accidents)
Comorbiditat
Falls (Accidents)
Comorbidity
title_short Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
title_full Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
title_fullStr Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
title_full_unstemmed Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
title_sort Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial
dc.creator.none.fl_str_mv Ferrer, Assumpta
Formiga Pérez, Francesc
Sanz Ródenas, Héctor
Vries, Oscar J. de
Badia, Teresa
Pujol Farriols, Ramon
OCTABAIX Study Group
author Ferrer, Assumpta
author_facet Ferrer, Assumpta
Formiga Pérez, Francesc
Sanz Ródenas, Héctor
Vries, Oscar J. de
Badia, Teresa
Pujol Farriols, Ramon
OCTABAIX Study Group
author_role author
author2 Formiga Pérez, Francesc
Sanz Ródenas, Héctor
Vries, Oscar J. de
Badia, Teresa
Pujol Farriols, Ramon
OCTABAIX Study Group
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Caigudes (Accidents)
Comorbiditat
Falls (Accidents)
Comorbidity
topic Caigudes (Accidents)
Comorbiditat
Falls (Accidents)
Comorbidity
description Background: The purpose of this study was to assess the effectiveness of a multifactorial intervention to reduce falls among the oldest-old people, including individuals with cognitive impairment or comorbidities. Methods: A randomized, single-blind, parallel-group clinical trial was conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people who were born in 1924, 328 were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both patients and their primary care providers. Primary outcomes were risk of falling and time until falls. Data analyses were by intention-to-treat. Results: Sixty-five (39.6%) subjects in the intervention group and 48 (29.3%) in the control group fell during follow-up. The difference in the risk of falls was not significant (relative risk 1.28, 95% confidence interval [CI] 0.94-1.75). Cox regression models with time from randomization to the first fall were not significant. Cox models for recurrent falls showed that intervention had a negative effect (hazard ratio [HR] 1.46, 95% CI 1.03-2.09) and that functional impairment (HR 1.42, 95% CI 0.97-2.12), previous falls (HR 1.09, 95% CI 0.74-1.60), and cognitive impairment (HR 1.08, 95% CI 0.72-1.60) had no effect on the assessment. Conclusion: This multifactorial intervention among octogenarians, including individuals with cognitive impairment or comorbidities, did not result in a reduction in falls. A history of previous falls, disability, and cognitive impairment had no effect on the program among the community-dwelling subjects in this study.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/126007
url https://hdl.handle.net/2445/126007
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.2147/CIA.S57580
Clinical Interventions in Aging, 2014, vol. 2014, num. 9, p. 383-393
https://doi.org/10.2147/CIA.S57580
dc.rights.none.fl_str_mv cc-by-nc (c) Ferrer, Assumpta et al., 2014
http://creativecommons.org/licenses/by-nc/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Ferrer, Assumpta et al., 2014
http://creativecommons.org/licenses/by-nc/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Dove Medical Press
publisher.none.fl_str_mv Dove Medical Press
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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