Nursing Homes Study of Fall Risk Assessment Oriented to Intervention (EMERCOIR)
Estudio de Medida Del Riesgo de Caídas Orientada a la Intervención en Residencias
研究概览
详细说明
Falls are the most frequent accidents in nursing homes, affecting more than a third of residents each year. Up to 10% of fallers require hospitalization or suffer a fracture. Psychological consequences affects between 20 and 80% of fallers, which suffer a lack of self-confidence that leads to reduction of activities and an increase of the dependence in activities of daily living.
Not all the residents have the same risk, and each person can have more than one risk factor that can be identified (previous falls, self confidence, weakness, gait disorders, dizziness, cognitive impairment, etc).
Identification of risk factors is the first step to reduce falls, but is not enough by itself. For this reason, interventions directed towards the correction of identified risk factors are required. In this setting, multifactorial interventions are the most successful to reduce falls numbers and its consequences.
As individual randomization of residents presents important inconveniences (group contamination, control arm residents could felt discriminated), we will randomized nursing homes to each group.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Barcelona、西班牙、08041
- Fundació Institut Català de l'Envelliment.
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- People with or without cognitive impairment living indefinitely in a nursing home place
- Able to walk with or without any kind of help or able to self transfer (as defined in category d420 of the WHO International Classification of Functioning, Disability and Health) without help
- Give their consent (or the legal guardian in case of cognitive impairment).
Exclusion Criteria:
- Terminal illness (expected death before 6 months).
- Occupying temporarily a nursing home place (convalescence period) or another kind of place(day center, long term care, etc).
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Intervention
Residents living in nursing homes allocated to intervention group.
Assessment of risk factors.
Implementation of a multifactorial tailored program to prevent falls.
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Assessment of presence of risk factors (previous falls, self efficacy, balance and gait disorders, weakness, daily living impairment, limb pain, foot problems, dizziness, cognitive impairment, vision impairment, depression, urinary incontinence, heart disease, polimedication and consumption of neuroleptics and psychotropic medication)
其他名称：
Induction of an intervention for each identified risk factor.
If is possible the intervention will be directed towards the treatment of the underlying cause.
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其他：Control
Residents living in nursing homes allocated to control group.
Assessment of risk factors.
Receive the usual attention.
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Assessment of presence of risk factors (previous falls, self efficacy, balance and gait disorders, weakness, daily living impairment, limb pain, foot problems, dizziness, cognitive impairment, vision impairment, depression, urinary incontinence, heart disease, polimedication and consumption of neuroleptics and psychotropic medication)
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Number of fallers
大体时间：one year
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People who at least have one fall during the follow-up period.
Fall:unexpected event in which the participants come to rest on the ground, floor, or lower level
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one year
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Number of falls
大体时间：one year
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Number of falls per person/time.
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one year
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Number of people who has a fracture as a consequence of a fall
大体时间：one year
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one year
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Quality of life (only in residents without cognitive impairment).
大体时间：One year
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One year
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Activities of daily living
大体时间：One year
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One year
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合作者和调查者
调查人员
- 首席研究员：Antoni Salvà Casanovas, MD、Fundació Institut Català de l'Envelliment
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
生活质量的临床试验
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Swansea University完全的
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Yale-NUS College完全的
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Scripps Translational Science Institute完全的