Benefits of home visits for falls and autonomy in the elderly - A randomized trial study

被引:74
作者
Pardessus, V
Puisieux, F
Di Pompeo, C
Gaudefroy, C
Thevenon, A
Dewailly, P
机构
[1] Hop Geriat Bateliers, Med Dept, F-59037 Lille, France
[2] Hop Geriat Bateliers, Phys Med & Rehabil Dept, F-59037 Lille, France
[3] Med Evaluat Lab, Fac Med, Lille, France
关键词
D O I
10.1097/00002060-200204000-00002
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate whether home visits by a occupational therapist reduces the risk of falling and improves the autonomy of older patients hospitalized for falling. Design: In this randomized, controlled trial set in a geriatric hospital, 60 patients (mean age, 83.5 yr) who were hospitalized for failing were recruited from the acute medicine department. A home visit from an occupational therapist and an ergotherapist assessed patients' homes for environmental hazards and recommended modifications. The outcomes measured were falls, autonomy, hospitalization for falling, institutionalization, and death. Results: During the follow-up period, the rate of falls, hospitalization for falls, institutionalization, and death were not significantly different between the two groups, Both groups had a loss of dependence at 12 mo. This loss of dependence was significant in the control group but not in the intervention group. Conclusions: Home visits from occupational therapists during hospitalization of older patients at risk for failing can help to preserve the patient's autonomy.
引用
收藏
页码:247 / 252
页数:6
相关论文
共 28 条
[1]   4 INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCORE AS A PREDICTOR OF ONE-YEAR INCIDENT DEMENTIA [J].
BARBERGERGATEAU, P ;
DARTIGUES, JF ;
LETENNEUR, L .
AGE AND AGEING, 1993, 22 (06) :457-463
[2]   Circumstances and consequences of falls in independent community-dwelling older adults [J].
Berg, WP ;
Alessio, HM ;
Mills, EM ;
Tong, C .
AGE AND AGEING, 1997, 26 (04) :261-268
[3]   CIRCUMSTANCES AND CONSEQUENCES OF FALLS EXPERIENCED BY A COMMUNITY POPULATION 70 YEARS AND OVER DURING A PROSPECTIVE-STUDY [J].
CAMPBELL, AJ ;
BORRIE, MJ ;
SPEARS, GF ;
JACKSON, SL ;
BROWN, JS ;
FITZGERALD, JL .
AGE AND AGEING, 1990, 19 (02) :136-141
[4]   Case-control study of hazards in the home and risk of falls and hip fractures [J].
Clemson, L ;
Cumming, RG ;
Roland, M .
AGE AND AGEING, 1996, 25 (02) :97-101
[5]   Prevention of falls in the elderly trial (PROFET): a randomised controlled trial [J].
Close, J ;
Ellis, M ;
Hooper, R ;
Glucksman, E ;
Jackson, S ;
Swift, C .
LANCET, 1999, 353 (9147) :93-97
[6]  
COMPAN B, 1999, EVALUATION FACTEURS, P147
[7]   Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention [J].
Cumming, RG ;
Thomas, M ;
Szonyi, G ;
Salkeld, G ;
O'Neill, E ;
Westbury, C ;
Frampton, G .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (12) :1397-1402
[8]   Falls presenting to the accident and emergency department: Types of presentation and risk factor profile [J].
Davies, AJ ;
Kenny, RA .
AGE AND AGEING, 1996, 25 (05) :362-366
[9]   The prognosis of falls in elderly people living at home [J].
Donald, IP ;
Bulpitt, CJ .
AGE AND AGEING, 1999, 28 (02) :121-125
[10]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198