Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres

被引:180
作者
Robertson, MC
Gardner, MM
Devlin, N
McGee, R
Campbell, AJ
机构
[1] Otago Med Sch, Dept Med & Surg Sci, Dunedin, New Zealand
[2] Univ Otago, Dept Econ, Dunedin, New Zealand
[3] Otago Med Sch, Dept Prevent & Social Med, Dunedin, New Zealand
来源
BRITISH MEDICAL JOURNAL | 2001年 / 322卷 / 7288期
关键词
D O I
10.1136/bmj.322.7288.701
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives To assess the effectiveness of trained nurses based in general practices individually prescribing a home exercise programme to reduce falls and injuries in elderly people and to estimate the cost effectiveness of the programme. Design Controlled trial with one year's follow up. Setting 32 general practices in seven southern New Zealand centres. Participants 450 women and men aged 80 years and older. Intervention 330 participants received the exercise programme (exercise centres) and 120 received usual care (control centres); 87% (371 of 426) completed the trial. Main outcome measures Number of falls, number of injuries resulting from falls, costs of implementing the programme, and hospital costs as a result of falls. Results Falls were reduced by 30% in the exercise centres (incidence rate ratio 0.70, 95% confidence interval 0.59 to 0.84). The programme was equally effective in men and women. The programme cost $NZ418 (pound 121) (at 1998 prices) per person to deliver for one year or $NZ1519 (pound 441) per fall prevented. Fewer participants had falls resulting in injuries, but there was no difference in the number who had serious injuries and no difference in hospital costs resulting from falls in exercise centres compared with control centres. Conclusions An individually tailored exercise programme, delivered by trained nurses from within general practices, was effective in reducing falls in three different centres, This strategy should be combined with other successful interventions to form part of home programmes to prevent falls in elderly people.
引用
收藏
页码:701 / 704
页数:6
相关论文
共 11 条
  • [1] Falls prevention over 2 years: a randomized controlled trial in women 80 years and older
    Campbell, AJ
    Robertson, MC
    Gardner, MM
    Norton, RN
    Buchner, DM
    [J]. AGE AND AGEING, 1999, 28 (06) : 513 - 518
  • [2] RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER
    CAMPBELL, AJ
    BORRIE, MJ
    SPEARS, GF
    [J]. JOURNALS OF GERONTOLOGY, 1989, 44 (04): : M112 - M117
  • [3] Psychotropic medication withdrawal and a home-based exercise program to prevent falls: A randomized, controlled trial
    Campbell, AJ
    Robertson, MC
    Gardner, MM
    Norton, RN
    Buchner, DM
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (07) : 850 - 853
  • [4] Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women
    Campbell, AJ
    Robertson, MC
    Gardner, MM
    Norton, RN
    Tilyard, MW
    Buchner, DM
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7115): : 1065 - 1069
  • [5] Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention
    Cumming, RG
    Thomas, M
    Szonyi, G
    Salkeld, G
    O'Neill, E
    Westbury, C
    Frampton, G
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (12) : 1397 - 1402
  • [6] Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials
    Gardner, MM
    Robertson, MG
    Campbell, AJ
    [J]. BRITISH JOURNAL OF SPORTS MEDICINE, 2000, 34 (01) : 7 - 17
  • [7] Can it work? Does it work? Is it worth it? The testing of healthcare interventions is evolving
    Haynes, B
    [J]. BRITISH MEDICAL JOURNAL, 1999, 319 (7211) : 652 - 653
  • [8] A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies?
    Jenkinson, C
    Layte, R
    Jenkinson, D
    Lawrence, K
    Petersen, S
    Paice, C
    Stradling, J
    [J]. JOURNAL OF PUBLIC HEALTH MEDICINE, 1997, 19 (02): : 179 - 186
  • [9] Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial
    Robertson, MC
    Devlin, N
    Gardner, MM
    Campbell, AJ
    [J]. BRITISH MEDICAL JOURNAL, 2001, 322 (7288): : 697 - 701
  • [10] *STAT, 1999, STAT STAT SOFTW