TY - JOUR PY - 2022// TI - Effectiveness of a tailored fall-prevention program for discharged older patients: a multicenter, preliminary, randomized controlled trial JO - International journal of environmental research and public health A1 - Ueda, Tetsuya A1 - Higuchi, Yumi A1 - Hattori, Gentoku A1 - Nomura, Hiromi A1 - Yamanaka, Gen A1 - Hosaka, Akiko A1 - Sakuma, Mina A1 - Fukuda, Takato A1 - Fukumoto, Takanori A1 - Nemoto, Takashi SP - e1585 EP - e1585 VL - 19 IS - 3 N2 - This multicenter, preliminary, randomized controlled trial investigated the effect of a tailored fall-prevention program using home floor plans for discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n = 72) at five acute-care hospitals. The control group received standard care (exercise to prevent recurrent falls), whereas the intervention group received a tailored fall-prevention program in addition to usual care. A physical therapist conducted the tailored education program using each patient's home floor plans before discharge. A follow-up survey of falls and near-falls at home was performed using a monthly fall calendar for the 1-month period after discharge. Data on 81.5% of participants remained for the final analyses. No falls occurred in the intervention group; however, 4.3% of those in the control group experienced a fall. Near-falls were reported by 3.7% and 26.9% of the participants in the intervention and control groups, respectively. The proportion of participants who did not experience near-falls in the 1st month after discharge was lower in the intervention than in the control group (p = 0.018). In conclusion, the tailored fall-prevention program using home floor plans in multiple acute-care hospitals was effective in reducing falls and near-falls in discharged orthopedic patients.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph19031585 ID - ref1 ER -