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.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Anticipato)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
-
-
-
Taipei, Taiwan, 100
- Jau-Yih Tsauo
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: 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
|
|
Sperimentale: 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
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
The number and severity of fall
Lasso di tempo: once per month for 6 monthes
|
once per month for 6 monthes
|
Collaboratori e investigatori
Investigatori
- Investigatore principale: Jau-Yih Tsauo, National Taiwan University Hospital
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Altri numeri di identificazione dello studio
- 200710010R
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .