Fall Prevention in a Primary Care Setting

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Siegrist M, Freiberger E, Geilhof B, Salb J, Hentschke C, Landendoerfer P, Linde K, Halle M, Blank WA
Zeitschrift: Deutsches Ärzteblatt international
Jahr der Veröffentlichung: 2016
Band: 113
Heftnummer: 21
Seitenbereich: 365-72
ISSN: 1866-0452


Abstract

Falls and fall-related injuries are common in community-dwelling elderly people. Effective multifactorial fall prevention programs in the primary care setting may be a promising approach to reduce the incidence rate of falls.In a cluster randomized trial in 33 general practices 378 people living independently and at high risk of falling (65 to 94 years old; 285 women) were allocated to either a 16 week exercise-based fall prevention program including muscle strengthening and challenging balance training exercises, combined with a 12 week home-based exercise program (222 participants), or to usual care (156 participants). The main outcome was number of falls over a period of 12 months. Secondary outcomes were the number of fall-related injuries, physical function (Timed-Up-and-Go-Test, TUG, Chair-Stand-Test, CST, modified Romberg Test), and fear of falling.In the intervention group (n=222 patients in 17 general practices) 291 falls occurred, compared to 367 falls in the usual care group (n=156 patients in 16 general practices). We observed a lower incidence rate for falls in the intervention group (incidence rate ratio/IRR: 0.54; 95% confidence interval (CI): [0.35; 0.84], p=0.007) and for fall-related injuries (IRR: 0.66; [0.42; 0.94], p=0.033). Additionally, patients in the intervention group showed significant improvements in secondary endpoints (TUG: -2.39 s, [-3.91; -0.87], p=0.014; mRomberg: 1.70 s, [0.35; 3.04], p=0.037; fear of falling: -2.28 points, [-3.87; -0.69], p=0.022) compared to usual care.A complex falls prevention program in a primary care setting was effective in reducing falls and fall-related injuries in community dwelling older adults at risk.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Freiberger, Ellen PD Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Salb, Johannes
Institut für Biomedizin des Alterns


Einrichtungen weiterer Autorinnen und Autoren

Technische Universität München (TUM)


Zitierweisen

APA:
Siegrist, M., Freiberger, E., Geilhof, B., Salb, J., Hentschke, C., Landendoerfer, P.,... Blank, W.A. (2016). Fall Prevention in a Primary Care Setting. Deutsches Ärzteblatt international, 113(21), 365-72. https://dx.doi.org/10.3238/arztebl.2016.0365

MLA:
Siegrist, Monika, et al. "Fall Prevention in a Primary Care Setting." Deutsches Ärzteblatt international 113.21 (2016): 365-72.

BibTeX: 

Zuletzt aktualisiert 2018-06-10 um 02:59