Fall Prevention in Nursing Homes

被引:59
作者
Becker, Clemens [1 ]
Rapp, Kilian [1 ]
机构
[1] Robert Bosch Krankenhaus, Dept Clin Gerontol, D-70376 Stuttgart, Germany
关键词
Falls; Fractures; Prevention; Nursing home; RANDOMIZED CONTROLLED-TRIAL; OLDER-PEOPLE; RESIDENTIAL CARE; LONG-TERM; HIP FRACTURE; RISK-FACTORS; INJURY PREVENTION; METAANALYSIS; MEDICATION; CLUSTER;
D O I
10.1016/j.cger.2010.07.004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The incidence of falls and fall-related injuries such as hip fractures remains high in nursing homes (NHs) across the world Randomized controlled trials have shown that interventions that combine multiple components such as progressive exercise medication review and improvements in the person-environment fit and delivered by multidisciplinary teams can effectively reduce the number of falls and fallers Vitamin D supplementation in adequate dosage is another effective method to reduce the burden of injuries in NHs Single interventions such as exercise alone or insufficient organizational support are reasons for failure or even harmful consequences Large-scale efforts are needed and justified to translate these findings into meaningful results
引用
收藏
页码:693 / +
页数:14
相关论文
共 57 条
[1]  
BAYERN AOK, 2010, STURZPRAVENTION SETT
[2]  
Becker C, 2005, AGING CLIN EXP RES, V17, P186
[3]   Effectiveness of a multifaceted intervention on falls in nursing home residents [J].
Becker, C ;
Kron, M ;
Lindemann, U ;
Sturm, E ;
Eichner, B ;
Walter-Jung, B ;
Nikolaus, T .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (03) :306-313
[4]   Uptake and adherence with soft- and hard-shelled hip protectors in Norwegian nursing homes:: a cluster randomised trial [J].
Bentzen, H. ;
Forsen, L. ;
Becker, C. ;
Bergland, A. .
OSTEOPOROSIS INTERNATIONAL, 2008, 19 (01) :101-111
[5]   Urinary incontinence: Does it increase risk for falls and fractures? [J].
Brown, JS ;
Vittinghoff, E ;
Wyman, JF ;
Stone, KL ;
Nevitt, MC ;
Ensrud, KE ;
Grady, D .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (07) :721-725
[6]   Hip protectors: recommendations for conducting clinical trials-an international consensus statement (part II) [J].
Cameron, I. D. ;
Robinovitch, S. ;
Birge, S. ;
Kannus, P. ;
Khan, K. ;
Lauritzen, J. ;
Howland, J. ;
Evans, S. ;
Minns, J. ;
Laing, A. ;
Cripton, P. ;
Derler, S. ;
Plant, D. ;
Kiel, D. P. .
OSTEOPOROSIS INTERNATIONAL, 2010, 21 (01) :1-10
[7]   The relationship between physical restraint removal and falls and injuries among nursing home residents [J].
Capezuti, E ;
Strumpf, NE ;
Evans, LK ;
Grisso, JA ;
Maislin, G .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1998, 53 (01) :M47-M52
[8]   Low bone mineral density and risk of fracture in white female nursing home residents [J].
Chandler, JM ;
Zimmerman, SI ;
Girman, CJ ;
Martin, AR ;
Hawkes, W ;
Hebel, JR ;
Sloane, PD ;
Holder, L ;
Magaziner, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (08) :972-977
[9]   VITAMIN-D(3) AND CALCIUM TO PREVENT HIP-FRACTURES IN ELDERLY WOMEN [J].
CHAPUY, MC ;
ARLOT, ME ;
DUBOEUF, F ;
BRUN, J ;
CROUZET, B ;
ARNAUD, S ;
DELMAS, PD ;
MEUNIER, PJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (23) :1637-1642
[10]   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