Establishment of an Integrated Model for Prevention of Elderly Falls
Bureau of Health Promotion,Department of Health, R.O.C. (Taiwan)
Falls, with a high prevalence, high risk and consequent medical and social costs, are an important issue for medical care and health promotion in the elderly. The prevalence of falls in the elderly lies in between 10-20%. Falls have become the second leading cause of death from injury for the elderly in Taiwan. A community-based study showed that, among those old adults after a fall, 27.3% were severely injured, 53.9% got a minor injury, and only 18.9% remained intact. Another study revealed that among fall injury events reported, 42% were hospitalized, of whom 2.2% died in hospital, and 37% entered nursing homes after discharge from hospital. In addition to physical discomfort, half of the elderly fallers would become disabled, and bring a heavy burden of social economy and family care. It was estimated that there were 460 thousand of old people who had a fall, and 125 thousand of them were injured in Taiwan, 2007. Research evidence shows that falls prevention is effective and feasible. Although primary falls prevention programs have been conducted at the community level and extended to 25 counties and cities for many years, they were not integrated with secondary and tertiary prevention. The study aims to establish an integrated fall prevention model, combined with primary, secondary and tertiary prevention. The model will be practiced in participating hospitals and communities, with a randomized control trial (RCT) design to examine its feasibility and effectiveness. Our study subjects are persons aged 65 and over who live in communities, go to out-patient departments (OPD) or emergency room (ER) care.
Tasks for implementation
- To organize a multidisciplinary team for integrated falls prevention.
- To draft a guideline for falls prevention in the elderly.
- To set up a multidisciplinary fall clinic.
- To set up a falls prevention classroom.
- To enhance cooperate between hospitals and primary care units to fulfill the guideline for falls prevention in the elderly.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Anticipado)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
-
Taipei, Taiwán, 100
- Jau-Yih Tsauo
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Old people (65 years old or more)
- With at least one fall in the past one year, or with disease related to fall, such as central nerve system disease or lower extrimity fracture
Exclusion Criteria:
- The result of screening test is "no fall risk"
- Cannot be followed for 6 months
- Cannot be evaluated because of the mental status
- Cannot have the exercise intervention
- Falling due to expected reason, such as suffering heart atteck
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: 1
To establish an integrated intervention model for prevention of elderly fall
|
consulted, educated, referred or receive an exercise training for their fitness, strength and balance
|
|
Experimental: 2
To perform a RCT to investigate the effectiveness of the multicenter, multifaceted intervention program
|
consulted, educated, referred or receive an exercise training for their fitness, strength and balance
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
|---|---|
|
The number and severity of fall
Periodo de tiempo: once per month for 6 monthes
|
once per month for 6 monthes
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Jau-Yih Tsauo, National Taiwan University Hospital
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- 200710010R
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